Page last updated: 2024-12-08

hydrocodone

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Description

Hydrocodone: Narcotic analgesic related to CODEINE, but more potent and more addicting by weight. It is used also as cough suppressant. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

hydrocodone : A morphinane-like compound that is a semi-synthetic opioid synthesized from codeine. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID5284569
CHEMBL ID1457
CHEBI ID5779
SCHEMBL ID2987
MeSH IDM0010704

Synonyms (88)

Synonym
hydrocodonum
3-methoxy-17-methyl-4,5alpha-epoxymorphinan-6-one
hidrocodona
CHEBI:5779 ,
(5alpha)-17-methyl-3-(methyloxy)-4,5-epoxymorphinan-6-one
einecs 204-733-9
brn 0094193
hydrocodonum [inn-latin]
dea no. 9193
hidrocodona [inn-spanish]
4,5alpha-epoxy-3-methoxy-17-methylmorphinan-6-one
idrocodone [dcit]
nsc 19044
morphinan-6-one, 4,5alpha-epoxy-3-methoxy-17-methyl-
morphinan-6-one, 4,5-alpha-epoxy-3-methoxy-17-methyl-
multacodin
morphinan-6-one, 4,5-epoxy-3-methoxy-17-methyl-, (5alpha)-
hydrocodone [inn:ban]
hsdb 3097
hydrocodon
dico
nsc-19044
morphinan-6-one,5.alpha.-epoxy-3-methoxy-17-methyl-
morphinan-6-one,5-epoxy-3-methoxy-17-methyl-, (5.alpha.)-
wln: t b6566 b6/co 4abbc r bx fv ho pn ght&&ttj jo1 p1
6-oxo-3-methoxy-n-methyl-4,5-epoxymorphinan
hydrocone
codeinone, dihydro-
4ah-8,5-bcd]furan-5-(6h)-one, 7,7a,8,9-tetrahydro-3-methoxy-12-methyl-
bekadid
codinovo
C08024
hydrocodone
dihydrocodeinone
125-29-1
idrocodone
DB00956
NCGC00159317-03
NCGC00159317-02
(-)-dihydrocodeinone
hydroconum
4,5-alpha-epoxy-3-methoxy-17-methylmorphinan-6-one
CHEMBL1457
hydrocodone polistirex
hydrocodone (inn)
D08045
bdbm50386689
unii-6yks4y3wq7
4-27-00-03580 (beilstein handbook reference)
6yks4y3wq7 ,
hydrocodone polistirex [usan]
(4r,4ar,7ar,12bs)-9-methoxy-3-methyl-1,2,4,4a,5,6,7a,13-octahydro-4,12-methanobenzofuro[3,2-e]isoquinoline-7-one
gtpl7081
hydrocodone [mi]
hydrocodone-
hydrocodone [hsdb]
oxycodone hydrochloride, hydrocodone- [usp impurity]
hydrocodone cii [usp-rs]
hydrocodone [who-dd]
hydrocodone [inn]
hydrocodone [vandf]
(5.alpha.)-3-methoxy-17-methyl-4,5-epoxymorphinan-6-one
oxycodone hydrochloride impurity e [ep impurity]
dihydrocodeine hydrogen tartrate impurity c [ep impurity]
SCHEMBL2987
17-methyl-4,5alpha-epoxy-3-methoxymorphinan-6-one
LLPOLZWFYMWNKH-CMKMFDCUSA-N
4,5alpha-epoxy-3-methoxy-17-methyl-morphinan-6-one
opioid1
DTXSID8023131 ,
(1s,5r,13r,17r)-10-methoxy-4-methyl-12-oxa-4-azapentacyclo[9.6.1.0^{1,13}.0^{5,17}.0^{7,18}]octadeca-7(18),8,10-trien-14-one
hydrocodone 0.1 mg/ml in methanol
hydrocodone 1.0 mg/ml in methanol
50678-79-0
(4r,4ar,7ar,12bs)-9-methoxy-3-methyl-1,2,4,4a,5,6,7a,13-octahydro-4,12-methanobenzofuro[3,2-e]isoquinolin-7-one
Q411441
(1s,5r,13r,17r)-10-methoxy-4-methyl-12-oxa-4-azapentacyclo[9.6.1.0?,??.0?,??.0?,??]octadeca-7,9,11(18)-trien-14-one
dtxcid803131
bekadid-
r05da03
hidrocodona (inn-spanish)
hydrocodonum (latin)
hydrocodone cii (usp-rs)
hydrocodone cii
dihydrocodeine hydrogen tartrate impurity c (ep impurity)
dicodid-
hydrocodonum (inn-latin)
hydrocodone, 1mg/ml in methanol

Research Excerpts

Toxicity

The study compared incidence of adverse events of the opioids codeine, hydrocodone, and tramadol in the relief of cancer pain. Adverse nasal effects were more frequent for intranasal benzhydrocdone/APAP vs intran asal HB/AP AP. Reduced hydrocidone exposure and drug liking at early time intervals can be expected to provide a level of deterrence.

ExcerptReferenceRelevance
"Opioids are associated with numerous adverse effects."( Presurgical intravenous parecoxib sodium and follow-up oral valdecoxib for pain management after laparoscopic cholecystectomy surgery reduces opioid requirements and opioid-related adverse effects.
Chen, C; Cheung, RY; Gan, TJ; Hanna, DB; Joshi, GP; Zhao, SZ, 2004
)
0.32
"Treatment with parecoxib and valdecoxib significantly reduced the cumulative MED requirements, the incidence of opioid-related adverse effects, and patient-days with CMEs."( Presurgical intravenous parecoxib sodium and follow-up oral valdecoxib for pain management after laparoscopic cholecystectomy surgery reduces opioid requirements and opioid-related adverse effects.
Chen, C; Cheung, RY; Gan, TJ; Hanna, DB; Joshi, GP; Zhao, SZ, 2004
)
0.32
"With the objective of comparing incidence of adverse events of the opioids codeine, hydrocodone, and tramadol in the relief of cancer pain, we conducted a randomized controlled trial in which patients with cancer were randomly assigned according to a computer-generated schedule to receive one of the three opioids."( Incidence of weak opioids adverse events in the management of cancer pain: a double-blind comparative trial.
Bravo, LE; Castillo, JM; Castillo, MP; Castro, F; Daza, P; Montoya, O; Restrepo, JM; Rodriguez, MF; Rodriguez, RF, 2007
)
0.34
" This study was aimed at identifying the specific agent responsible for hearing loss from toxic killing of cochlear sensory cells."( Acetaminophen ototoxicity after acetaminophen/hydrocodone abuse: evidence from two parallel in vitro mouse models.
Kalinec, F; Kalinec, GM; Luxford, WM; Warren, FM; Yorgason, JG, 2010
)
0.36
" Physicians need to be aware of this adverse effect, rather then resorting to expensive diagnostic interventions."( Prolonged ventricular asystole: a rare adverse effect of hydrocodone use.
Sudhakaran, S; Surani, SR; Surani, SS, 2014
)
0.4
" Adverse events in both trials were typical of those associated with opioid analgesics."( Efficacy and safety of once-daily, extended-release hydrocodone in individuals previously receiving hydrocodone/acetaminophen combination therapy for chronic pain.
Bartoli, A; He, E; Michna, E; Wen, W, 2015
)
0.42
" The objective of this study was to evaluate the effect of a dual-modality (written and spoken) literacy-appropriate educational strategy on patients' knowledge of and safe use of opioid analgesics."( Improving patient knowledge and safe use of opioids: a randomized controlled trial.
Adams, JG; Ahlstrom, E; Cameron, KA; Chevrier, A; Courtney, DM; Engel, KG; McCarthy, DM; McConnell, R; Sears, J; Wolf, MS, 2015
)
0.42
" The most frequent treatment-emergent adverse events (AEs; ≥ 5 percent) were those commonly associated with the use of systemic µ-opioid analgesics, including nausea, constipation, vomiting, fatigue, dizziness, somnolence, and headache."( 12-Month safety and effectiveness of once-daily hydrocodone tablets formulated with abuse-deterrent properties in patients with moderate to severe chronic pain.
He, E; Lynch, SY; Ripa, S; Taber, L; Wen, W,
)
0.13
" Primary safety measures included the incidence of adverse events, as well as audiologic, clinical laboratory and electrocardiogram measurements."( Long-term safety and effectiveness of once-daily, single-entity, extended-release hydrocodone over 76 weeks of an open-label study in patients with chronic noncancer and nonneuropathic pain.
He, E; Lynch, SY; Ripa, SR; Taber, L, 2016
)
0.43
" Treatment-emergent adverse events were typical of those observed with μ-opioid agonists."( Long-term safety and effectiveness of once-daily, single-entity, extended-release hydrocodone over 76 weeks of an open-label study in patients with chronic noncancer and nonneuropathic pain.
He, E; Lynch, SY; Ripa, SR; Taber, L, 2016
)
0.43
"Changes from baseline at week 12 in weekly average of daily worst pain intensity (WPI; primary efficacy measure), weekly average pain intensity (API; secondary efficacy measure), adverse events (AEs), and study drug loss and diversion."( Efficacy and safety of a hydrocodone extended-release tablet formulated with abuse-deterrence technology in patients with moderate-to-severe chronic low back pain.
Eyal, E; Hale, ME; Malamut, R; Zimmerman, TR,
)
0.13
" HYD demonstrated a safety profile typical of µ opioids; nausea, constipation, vomiting, and dizziness were the most frequently reported opioid-related adverse events during the study."( Effectiveness and Safety of Once-Daily Extended-Release Hydrocodone in Individuals Previously Receiving Immediate-Release Oxycodone for Chronic Pain.
He, E; Kowalski, M; Pergolizzi, J, 2018
)
0.48
"HYD demonstrated a safety profile consistent with μ-opioid agonists: Serious adverse events in 12% patients with depression/anxiety including four deaths; 6% without depression/anxiety including one death."( Safety and effectiveness of once-daily Hysingla extended-release tablets in patients with baseline depression or anxiety.
He, E; Ripa, SR; Taber, L, 2017
)
0.46
"More serious adverse events occurred among patients with comorbid depression/anxiety at baseline than among those without."( Safety and effectiveness of once-daily Hysingla extended-release tablets in patients with baseline depression or anxiety.
He, E; Ripa, SR; Taber, L, 2017
)
0.46
" Adverse nasal effects were more frequent for intranasal benzhydrocodone/APAP vs intranasal HB/APAP."( Relative Bioavailability, Intranasal Abuse Potential, and Safety of Benzhydrocodone/Acetaminophen Compared with Hydrocodone Bitartrate/Acetaminophen in Recreational Drug Abusers.
Barrett, AC; Guenther, SM; Lam, V; Mickle, TC; Roupe, KA; Zhou, J, 2018
)
0.48
"Reduced hydrocodone exposure and drug liking at early time intervals, coupled with adverse nasal effects, can be expected to provide a level of deterrence to the intranasal route of abuse for benzhydrocodone/APAP."( Relative Bioavailability, Intranasal Abuse Potential, and Safety of Benzhydrocodone/Acetaminophen Compared with Hydrocodone Bitartrate/Acetaminophen in Recreational Drug Abusers.
Barrett, AC; Guenther, SM; Lam, V; Mickle, TC; Roupe, KA; Zhou, J, 2018
)
0.48
" Regression models estimated daily milligrams morphine equivalent (MME), daily prescription acetaminophen dose, potentially toxic acetaminophen doses, nonopioid prescription analgesics receipt, emergency room visits, and diagnosed falls, motor vehicle accidents, and hip fractures."( Response to Propoxyphene Market Withdrawal: Analgesic Substitutes, Doses, and Adverse Events.
Hooten, WM; Jeffery, MM; Larochelle, M; Meara, E; Morden, NE; Shah, ND, 2020
)
0.56
" Adverse events were rare and not significantly different in exposed versus unexposed groups."( Response to Propoxyphene Market Withdrawal: Analgesic Substitutes, Doses, and Adverse Events.
Hooten, WM; Jeffery, MM; Larochelle, M; Meara, E; Morden, NE; Shah, ND, 2020
)
0.56
"Due to concerns over potential interactions between some hepatitis C direct-acting antivirals (DAAs) and opioids, we describe adverse event (AE) reports of concomitant use of opioids and DAAs."( Reported adverse events related to use of hepatitis C virus direct-acting antivirals with opioids: 2017-2021.
Collins, M; Conway, B; Dylla, DE; Khan, T; Marcinak, J; Martinez, A; Saget, B, 2023
)
0.91

Pharmacokinetics

There are no published reports of population pharmacokinetic analyses for hydrocodone. This study examined the influence of the coadministration of paroxetine, a strong selective CYP2D6 inhibitor, on the pharmacokinetics.

ExcerptReferenceRelevance
" The method was successfully applied to the pharmacokinetic and bioequivalence studies in healthy Chinese volunteers."( Determination and pharmacokinetic study of hydrocodone in human plasma by liquid chromatography coupled with tandem mass spectrometry.
Guo, R; Wang, B; Wei, C; Yuan, G; Zhang, R, 2009
)
0.35
" The mean hydrocodone CMAX was 11."( Pharmacokinetics of hydrocodone and hydromorphone after oral hydrocodone in healthy Greyhound dogs.
KuKanich, B; Spade, J, 2013
)
0.39
" Additionally, there are no published reports of population pharmacokinetic analyses for hydrocodone."( Population pharmacokinetic analysis for hydrocodone following the administration of hydrocodone bitartrate extended-release capsules.
Farr, SJ; Melhem, MR; Robinson, CY; Rubino, CM, 2013
)
0.39
" Despite this approval, pediatric pharmacokinetic data using this product have not been previously published."( Pharmacokinetics of hydrocodone/acetaminophen combination product in children ages 6-17 with moderate to moderately severe postoperative pain.
Awni, W; Dutta, S; Kearns, G; Liu, W; Neville, KA, 2015
)
0.42
" This study evaluated the pharmacokinetics of three hydrocodone ER tablet prototypes with varying levels of polymer coating to identify the prototype expected to have the greatest abuse deterrence potential based on pharmacokinetic characteristics that maintain systemic exposure to hydrocodone comparable to that of a commercially available hydrocodone immediate-release (IR) product."( Pharmacokinetics of hydrocodone extended-release tablets formulated with different levels of coating to achieve abuse deterrence compared with a hydrocodone immediate-release/acetaminophen tablet in healthy subjects.
Bond, M; Darwish, M; Robertson, P; Tracewell, W; Yang, R, 2015
)
0.42
" Blood samples for pharmacokinetic assessments were collected predose and through 72 h postdose."( Pharmacokinetics of hydrocodone extended-release tablets formulated with different levels of coating to achieve abuse deterrence compared with a hydrocodone immediate-release/acetaminophen tablet in healthy subjects.
Bond, M; Darwish, M; Robertson, P; Tracewell, W; Yang, R, 2015
)
0.42
"All three hydrocodone ER tablet prototypes (low-, intermediate-, and high-level polymer coating) demonstrated ER pharmacokinetic characteristics."( Pharmacokinetics of hydrocodone extended-release tablets formulated with different levels of coating to achieve abuse deterrence compared with a hydrocodone immediate-release/acetaminophen tablet in healthy subjects.
Bond, M; Darwish, M; Robertson, P; Tracewell, W; Yang, R, 2015
)
0.42
"CYP2D6 phenotype-specific HC clinical pharmacokinetic parameter estimates and phenotype-specific percentages of HM formed from HC."( Individualized Hydrocodone Therapy Based on Phenotype, Pharmacogenetics, and Pharmacokinetic Dosing.
Boston, RC; Daly, AL; Fudin, J; Linares, OA, 2015
)
0.42
" Blood samples were collected for pharmacokinetic analysis of study drugs and their metabolites over an 8-hour period beginning after the second dose of the study medication."( Pharmacokinetics of hydrocodone and tramadol administered for control of postoperative pain in dogs following tibial plateau leveling osteotomy.
Benitez, ME; KuKanich, B; McMurphy, R; Roush, JK, 2015
)
0.42
" The terminal half-life for hydrocodone was 15."( Pharmacokinetics of hydrocodone and tramadol administered for control of postoperative pain in dogs following tibial plateau leveling osteotomy.
Benitez, ME; KuKanich, B; McMurphy, R; Roush, JK, 2015
)
0.42
" This study examined the influence of the coadministration of paroxetine, a strong selective CYP2D6 inhibitor, on the pharmacokinetic properties of hydrocodone (and hydromorphone) in healthy adults."( Effects of paroxetine, a CYP2D6 inhibitor, on the pharmacokinetic properties of hydrocodone after coadministration with a single-entity, once-daily, extended-release hydrocodone tablet.
Cipriano, A; Friedman, K; Harris, SC; Kapil, RP; Michels, G; Mondal, SA; Shet, M, 2015
)
0.42
"Hydrocodone mean Cmax and t½ and median Tmax values were similar with paroxetine or placebo coadministration (16."( Effects of paroxetine, a CYP2D6 inhibitor, on the pharmacokinetic properties of hydrocodone after coadministration with a single-entity, once-daily, extended-release hydrocodone tablet.
Cipriano, A; Friedman, K; Harris, SC; Kapil, RP; Michels, G; Mondal, SA; Shet, M, 2015
)
0.42
"Standard pharmacokinetic parameters were estimated by noncompartmental analysis methods."( A pharmacokinetic evaluation of single and multiple doses of extended-release hydrocodone bitartrate in subjects experiencing surgical or osteoarthritic pain.
Farr, SJ; Robinson, CY; Rubino, CM,
)
0.13
" In both studies, a high-fat meal did not affect the Cmax for hydrocodone."( Single-dose pharmacokinetics of 2 or 3 tablets of biphasic immediate-release/extended-release hydrocodone bitartrate/acetaminophen (MNK-155) under fed and fasted conditions: two randomized open-label trials.
Devarakonda, K; Giuliani, MJ; Kostenbader, K; Young, JL, 2015
)
0.42
" Pharmacokinetic profiles were comparable at day 1 and day 5 after administration of HYD 120 mg once daily."( Pharmacokinetic Profile and Sustained 24-hour Analgesia of a Once-daily Hydrocodone Bitartrate Extended-release Tablet with Abuse-deterrent Properties.
Cipriano, A; Colucci, SV; Harris, SC; He, E; Kapil, RP; Wen, W; Yu Lynch, S, 2016
)
0.43
" Mean hydrocodone Cmax following insufflation of HYD coarse particles, HYD fine particles, and hydrocodone powder was 27."( Intranasal Abuse Potential, Pharmacokinetics, and Safety of Once-Daily, Single-Entity, Extended-Release Hydrocodone (HYD) in Recreational Opioid Users.
Cipriano, A; Colucci, SV; Geoffroy, P; Harris, SC; Hopyan, T; Kapil, RP; Levy-Cooperman, N, 2016
)
0.43
" Mean Cmax with normal hepatic function and moderate impairment was 10."( Effects of Renal Impairment and Hepatic Impairment on the Pharmacokinetics of Hydrocodone After Administration of a Hydrocodone Extended-Release Tablet Formulated With Abuse-Deterrence Technology.
Bond, M; Darwish, M; Robertson, P; Tracewell, W; Yang, R, 2016
)
0.43
" The pharmacokinetic properties of the individual components were evaluated in a randomized, open-label, four-period study in 12 healthy Chinese volunteers following single and multiple doses."( Pharmacokinetics of guaifenesin, pseudoephedrine and hydrocodone in a combination oral liquid formulation, administered as single and multiple doses in healthy Chinese volunteers, and comparison with data for individual compounds formulated as Antuss®.
Deng, S; Hu, J; Huang, W; Lu, H; Ni, X; Qiu, C; Shang, D; Wang, Z; Wen, Y; Xiong, L; Zhang, M; Zhang, Y; Zhu, X, 2017
)
0.46
" Median Tmax of hydrocodone following benzhydrocodone API was delayed by more than one hour compared with HB."( Pharmacokinetics and Abuse Potential of Benzhydrocodone, a Novel Prodrug of Hydrocodone, After Intranasal Administration in Recreational Drug Users.
Barrett, AC; Dickerson, D; Guenther, SM; Mickle, TC; Roupe, KA; Webster, LR; Zhou, J, 2018
)
0.48

Compound-Compound Interactions

ExcerptReferenceRelevance
" This case highlights the interplay between pharmacogenetic factors, drug-drug interactions, and dose-related toxicity in a child."( Fatal hydrocodone overdose in a child: pharmacogenetics and drug interactions.
Carleton, BC; Ciszkowski, C; Gong, IY; Hayden, MR; Hildebrandt, D; Koren, G; Lauwers, AE; Madadi, P; Ross, CJ; Schwarz, UI; Sistonen, J, 2010
)
0.36
"CYP2D6 drug-drug interactions appear to change effectiveness of commonly prescribed drugs in the ED."( The effect of CYP2D6 drug-drug interactions on hydrocodone effectiveness.
Campbell, J; Hamamura, D; Heard, KJ; Monte, AA; Vasiliou, V; Weinshilboum, RM, 2014
)
0.4
" More importantly, opioids are often prescribed in combination with multiple other drugs, especially in patient populations who typically are prescribed a large drug regimen."( Hydrocodone, Oxycodone, and Morphine Metabolism and Drug-Drug Interactions.
Coates, S; Lazarus, P, 2023
)
0.91

Bioavailability

Study compared the development of tolerance to two orally bioavailable prescription opioids, oxycodone and hydrocodone, to that of morphine, and the reversal of this tolerance by ethanol. Three open-label PK studies were conducted.

ExcerptReferenceRelevance
" The compound appeared to be well absorbed in the three species."( Disposition and metabolism of codorphone in the rat, dog, and man.
Evans, JV; Helms, RJ; Leeling, JL; Ryerson, BA,
)
0.13
" A plasma concentration-time curve from a subject administered a single oral dose of hydromorphone demonstrates the usefulness of the assay in monitoring drug levels in a bioavailability study."( Radioimmunoassay of hydromorphone and hydrocodone in human plasma.
Honigberg, IL; Stewart, JT, 1980
)
0.26
" Across treatments (hydrocodone solution, HYD fine particles, HYD chewed, and HYD intact, respectively), mean C max and rate of absorption (C max /T max ) values decreased, respectively, and median T max values increased, respectively."( Oral Abuse Potential, Pharmacokinetics, and Safety of Once-Daily, Single-Entity, Extended-Release Hydrocodone (HYD) in Recreational Opioid Users.
Cipriano, A; Colucci, SV; Geoffroy, P; Harris, SC; Hopyan, T; Kapil, RP; Levy-Cooperman, N, 2017
)
0.46
"This study compared the development of tolerance to two orally bioavailable prescription opioids, oxycodone and hydrocodone, to that of morphine, and the reversal of this tolerance by ethanol."( Ethanol Reversal of Tolerance to the Antinociceptive Effects of Oxycodone and Hydrocodone.
Akbarali, HI; Dewey, WL; Henderson, G; Jacob, JC; Poklis, JL, 2017
)
0.46
" Moreover, in vivo performance of IR ADF technologies was investigated in an open-label, randomized, cross-over, phase 1, relative oral bioavailability study with another opioid (model compound)."( Application of hot-melt extrusion technology in immediate-release abuse-deterrent formulations.
Galia, E; Schwier, S; Stahlberg, HJ; Wening, K,
)
0.13
"Single-center bioavailability trial."( Application of hot-melt extrusion technology in immediate-release abuse-deterrent formulations.
Galia, E; Schwier, S; Stahlberg, HJ; Wening, K,
)
0.13

Dosage Studied

Twenty healthy volunteers received 20, 60 and 120 mg daily doses of hydrocodone dosed to steady-state at each level while under a naltrexone blockade. Dose-response studies revealed an 50% effective dose for hydrocdone alone in mice of 11 mg/kg, SC.

ExcerptRelevanceReference
" To illustrate the usefulness of this methodology, a urine sample obtained from a dog that had been dosed with codorphone was analyzed by gas chromatography mass spectrometry, and the metabolites were identified by comparison to the mass spectra of the synthetic derivatives."( Methodology for the identification of the urinary metabolites of the analgesic-narcotic antagonist, codorphone, by gas chromatography mass spectrometry.
Evans, JV; Helms, RJ; Leeling, JL, 1982
)
0.26
" Analgesia was measured during the 6-hour period after dosing based on onset of relief, hourly and summary variables, and duration of effect."( Analgesic efficacy of a hydrocodone with ibuprofen combination compared with ibuprofen alone for the treatment of acute postoperative pain.
Doyle, R; O'Neill, E; Olson, NZ; Ramos, I; Sunshine, A, 1997
)
0.3
" Finally, shifts in the morphine dose-response lines after 24-h pretreatment with the four dihydrocodeinone compounds suggest that the nitrocinnamoylamino derivatives may produce a greater magnitude long-term antagonism of morphine-induced antinociception than the chlorocinnamoylamino analogs."( Nitrocinnamoyl and chlorocinnamoyl derivatives of dihydrocodeinone: in vivo and in vitro characterization of mu-selective agonist and antagonist activity.
Archer, S; Bidlack, JM; Hill, KP; Jiang, Q; McLaughlin, JP; Sebastian, A, 1999
)
0.3
"This study demonstrated that a 2-tablet dose of hydrocodone with ibuprofen provided significantly more analgesia than a 1-tablet dose (a positive dose-response effect) and that both doses were superior to placebo."( Dose-response effect of combination hydrocodone with ibuprofen in patients with moderate to severe postoperative pain.
Damask, M; de Padova, A; Doyle, RT; Jiang, JG; Keffer, M; Landau, CJ; Morris, E; Palangio, M; Wideman, GL, 2000
)
0.31
" In a second case study, a postoperative patient self-administered 960 mg/day (240 mg four times per day) of physician-prescribed oral codeine phosphate, and urine specimens were collected on the third day of the dosing regimen."( Identification of hydrocodone in human urine following controlled codeine administration.
Cone, EJ; Huestis, MA; Joseph, RE; Oyler, JM, 2000
)
0.31
" This article will address the safety and efficacy of acetaminophen, aspirin, and ibuprofen independently and in combination with currently available prescription dosage forms with a focus on pharmacology, pharmacotherapeutics, pharmacodynamics, and pharmacokinetics, including drug interactions at the CYP450 system."( Acetaminophen, aspirin, or Ibuprofen in combination analgesic products.
Barkin, RL,
)
0.13
" The recommended dosing of the study medications was 1 tablet every 4 to 6 hours, not to exceed 5 tablets per day."( Combination hydrocodone and ibuprofen versus combination oxycodone and acetaminophen in the treatment of moderate or severe acute low back pain.
Dornseif, BE; Doyle, RT; Morris, E; Palangio, M; Valente, TJ, 2002
)
0.31
" The new difference CD spectroscopic method can be applied to the selective determination of 6-oxo-morphinans in bulk and dosage forms."( Determination of 6-oxo-morphinans, as the oximes, by difference circular dichroism spectroscopy.
Gergely, A; Horváth, P; Hosztafi, S; Szász, G; Szentesi, A, 2002
)
0.31
" Dose-response studies revealed an 50% effective dose for hydrocodone alone in mice of 11 mg/kg, SC."( The synergistic analgesic interactions between hydrocodone and ibuprofen.
Kolesnikov, YA; Pasternak, GW; Wilson, RS, 2003
)
0.32
" The primary outcome measures were total pain relief through 6 hours after dosing (TOTPAR6), sum of pain intensity differences through 6 hours (SPID6), and adverse events."( Analgesic efficacy and tolerability of oxycodone 5 mg/ibuprofen 400 mg compared with those of oxycodone 5 mg/acetaminophen 325 mg and hydrocodone 7.5 mg/acetaminophen 500 mg in patients with moderate to severe postoperative pain: a randomized, double-blin
Adamson, DN; Christensen, SE; Han, SH; Litkowski, LJ; Newman, KB; Van Dyke, T, 2005
)
0.33
"When opioids are used for postoperative pain control, it is useful to define the dose-response relationship for analgesia and respiratory depression."( Preoperative "fentanyl challenge" as a tool to estimate postoperative opioid dosing in chronic opioid-consuming patients.
Davis, JJ; Dillon, JD; Egan, TD; Hall, RH; Johnson, KB; Niu, SY; Pace, NL; Swenson, JD, 2005
)
0.33
" The limited efficacy of rofecoxib in this study contrasts to the results of previous surgical studies evaluating rofecoxib, and may be partially explained by the postoperative dosing in this arthroscopic surgical model."( The efficacy of rofecoxib 50 mg and hydrocodone/acetaminophen 7.5/750 mg in patients with post-arthroscopic pain.
Chelly, JE; Nissen, CW; Rodgers, AJ; Smugar, SS; Tershakovec, AM, 2007
)
0.34
" In both groups, if pain intensity was rated as > 3 on the VAS at week 1 or 2, the dosage was doubled."( Codeine/acetaminophen and hydrocodone/acetaminophen combination tablets for the management of chronic cancer pain in adults: a 23-day, prospective, double-blind, randomized, parallel-group study.
Angel, AM; Castillo, JM; Del Pilar Castillo, M; Nuñez, PD; Ortiz, Y; Restrepo, JM; Rodriguez, JM; Rodriguez, MF; Rodriguez, RF, 2007
)
0.34
" Of the patients who received C/A, 58% responded to the initial dosage of 150/2500 mg/d, and 8% of the patients responded to the double dosage; 34% did not experience pain relief."( Codeine/acetaminophen and hydrocodone/acetaminophen combination tablets for the management of chronic cancer pain in adults: a 23-day, prospective, double-blind, randomized, parallel-group study.
Angel, AM; Castillo, JM; Del Pilar Castillo, M; Nuñez, PD; Ortiz, Y; Restrepo, JM; Rodriguez, JM; Rodriguez, MF; Rodriguez, RF, 2007
)
0.34
" Moderate dosages of hydrocodone appear acceptable during breastfeeding, but more data are needed to determine the maximum safe dosage for nursing mothers."( Hydrocodone excretion into breast milk: the first two reported cases.
Anderson, PO; Lane, JR; Rossi, SS; Sauberan, JB, 2007
)
0.34
" Patients kept daily diaries and recorded pain scores and self hydrocodone dosing upon awakening, in the afternoon, and at bed time."( Effect of cigarette smoking on serum hydrocodone levels in chronic pain patients.
Ackerman, WE; Ahmad, M, 2007
)
0.34
"Analgesic efficacy of opioids and dosing protocol have been shown to influence analgesic tolerance."( Dosing protocol and analgesic efficacy determine opioid tolerance in the mouse.
Dighe, SV; Madia, PA; Sirohi, S; Walker, EA; Yoburn, BC, 2009
)
0.35
" Dose-response studies were conducted using morphine following treatment."( Dosing protocol and analgesic efficacy determine opioid tolerance in the mouse.
Dighe, SV; Madia, PA; Sirohi, S; Walker, EA; Yoburn, BC, 2009
)
0.35
" These results suggest that opioid analgesic tolerance may be increased when sustained release dosing formulations or continuous infusions are employed clinically."( Dosing protocol and analgesic efficacy determine opioid tolerance in the mouse.
Dighe, SV; Madia, PA; Sirohi, S; Walker, EA; Yoburn, BC, 2009
)
0.35
" Additional measures included NPRS scores at predefined times over 48 hours, the summed pain intensity difference over 48 hours (SPID48), the time-weighted sum of pain relief scores over the first 8 hours, the mean dosing interval (the time from dosing to the time rescue medication or the next dose of study medication was administered, whichever was less), the proportion of patients requiring rescue medication, and the onset of perceptible and meaningful pain relief (2-stopwatch method)."( Diclofenac potassium liquid-filled soft gelatin capsules in the management of patients with postbunionectomy pain: a Phase III, multicenter, randomized, double-blind, placebo-controlled study conducted over 5 days.
Boesing, SE; Diamond, E; Duckor, S; Gottlieb, I; Raymond, G; Riff, DS; Soulier, S, 2009
)
0.35
"001), and overall mean dosing interval (331."( Diclofenac potassium liquid-filled soft gelatin capsules in the management of patients with postbunionectomy pain: a Phase III, multicenter, randomized, double-blind, placebo-controlled study conducted over 5 days.
Boesing, SE; Diamond, E; Duckor, S; Gottlieb, I; Raymond, G; Riff, DS; Soulier, S, 2009
)
0.35
"To determine the effectiveness of around-the-clock (ATC) analgesic administration, with or without nurse coaching, compared with standard care with as needed (PRN) dosing in children undergoing outpatient tonsillectomy."( A randomized clinical trial of the efficacy of scheduled dosing of acetaminophen and hydrocodone for the management of postoperative pain in children after tonsillectomy.
Holdridge-Zeuner, D; Lanier, B; Mahoney, K; Miaskowski, C; Paul, SM; Savedra, MC; Sutters, KA; Waite, S, 2010
)
0.36
" With the exception of constipation, scheduled analgesic dosing did not increase the frequency or severity of opioid-related adverse effects."( A randomized clinical trial of the efficacy of scheduled dosing of acetaminophen and hydrocodone for the management of postoperative pain in children after tonsillectomy.
Holdridge-Zeuner, D; Lanier, B; Mahoney, K; Miaskowski, C; Paul, SM; Savedra, MC; Sutters, KA; Waite, S, 2010
)
0.36
"Scheduled dosing of acetaminophen and hydrocodone is more effective than PRN dosing in reducing pain intensity in children after tonsillectomy."( A randomized clinical trial of the efficacy of scheduled dosing of acetaminophen and hydrocodone for the management of postoperative pain in children after tonsillectomy.
Holdridge-Zeuner, D; Lanier, B; Mahoney, K; Miaskowski, C; Paul, SM; Savedra, MC; Sutters, KA; Waite, S, 2010
)
0.36
"Twenty healthy volunteers received 20, 60 and 120 mg daily doses of hydrocodone dosed to steady-state at each level while under a naltrexone blockade."( Use of an algorithm applied to urine drug screening to assess adherence to a hydrocodone regimen.
Couto, JE; Leider, HL; Linden, A; Romney, MC; Webster, L, 2011
)
0.37
"The purpose of this study, in a sample of preschool children (ages 3-5 years; N = 47), was to evaluate the feasibility of scheduled analgesic dosing following outpatient tonsillectomy in order to optimize pain management."( A descriptive feasibility study to evaluate scheduled oral analgesic dosing at home for the management of postoperative pain in preschool children following tonsillectomy.
Holdridge-Zeuner, D; Lanier, B; Mahoney, K; Miaskowski, C; Paul, SM; Savedra, MC; Sutters, KA; Waite, S, 2012
)
0.38
" Time-contingent dosing was associated with moderate to severe side effects and should be addressed in discharge teaching with parents."( A descriptive feasibility study to evaluate scheduled oral analgesic dosing at home for the management of postoperative pain in preschool children following tonsillectomy.
Holdridge-Zeuner, D; Lanier, B; Mahoney, K; Miaskowski, C; Paul, SM; Savedra, MC; Sutters, KA; Waite, S, 2012
)
0.38
"Adult patients with pain from osteoarthritis receiving a stable dosage of HCD/APAP (i."( A randomized, 14-day, double-blind study evaluating conversion from hydrocodone/acetaminophen (Vicodin) to buprenorphine transdermal system 10 μg/h or 20 μg/h in patients with osteoarthritis pain.
Landau, CJ; McCarberg, BH; Munera, C; Ripa, SR; Wen, W, 2012
)
0.38
" A critical element to this approach involved providing sufficient immediate-release opioid to treat breakthrough pain and to reverse acute abstinence signs and symptoms if the dosing changes prove insufficient."( Overdose deaths demand a new paradigm for opioid rotation.
Fine, PG; Webster, LR, 2012
)
0.38
" Samples collected from rats and dogs dosed orally with hydrocodone were analyzed with reversed phase liquid chromatography coupled with LTQ-Orbitrap."( Update on hydrocodone metabolites in rats and dogs aided with a semi-automatic software for metabolite identification Mass-MetaSite.
Chovan, JP; Li, AC; Yu, E; Zamora, I, 2013
)
0.39
" Nicotine has analgesic properties and it is hypothesized that cigarette smoking might decrease the dosage of hydrocodone needed for the relief of chronic pain."( The effect of cigarette smoking on hydrocodone efficacy in chronic pain patients.
Ackerman, WE, 2012
)
0.38
" The questions asked were related to whether a narcotic was routinely prescribed for patients who have had impacted teeth removed, the most common drug used, and the dosage and number of tablets prescribed."( Narcotic prescribing habits and other methods of pain control by oral and maxillofacial surgeons after impacted third molar removal.
Abubaker, AO; Laskin, DM; Mutlu, I, 2013
)
0.39
"Most oral and maxillofacial surgeons prescribe analgesic drugs of an appropriate type and dosage and use proper adjunctive pain control measures to supplement these drugs."( Narcotic prescribing habits and other methods of pain control by oral and maxillofacial surgeons after impacted third molar removal.
Abubaker, AO; Laskin, DM; Mutlu, I, 2013
)
0.39
" Following intrathecal administration, norhydrocodone produced a shallow analgesia dose-response curve and maximal effect of 15-45%, whereas hydrocodone and hydromorphone produced dose-dependent analgesia."( In vivo activity of norhydrocodone: an active metabolite of hydrocodone.
Navani, DM; Yoburn, BC, 2013
)
0.39
" However, body weight-based hydrocodone and acetaminophen dosing regimens provided close approximation of adult exposures in pediatric patients with approximately 22% to 24% lower hydrocodone and acetaminophen dose/BW-normalized AUC in pediatric patients compared to adults."( Pharmacokinetics of hydrocodone/acetaminophen combination product in children ages 6-17 with moderate to moderately severe postoperative pain.
Awni, W; Dutta, S; Kearns, G; Liu, W; Neville, KA, 2015
)
0.42
" Dosing periods were separated by a minimum 5-day washout."( Pharmacokinetics of hydrocodone extended-release tablets formulated with different levels of coating to achieve abuse deterrence compared with a hydrocodone immediate-release/acetaminophen tablet in healthy subjects.
Bond, M; Darwish, M; Robertson, P; Tracewell, W; Yang, R, 2015
)
0.42
" (2) To develop an HC phenotype-specific dosing strategy for HC that accounts for HM production using clinical pharmacokinetics integrated with pharmacogenetics for patient safety."( Individualized Hydrocodone Therapy Based on Phenotype, Pharmacogenetics, and Pharmacokinetic Dosing.
Boston, RC; Daly, AL; Fudin, J; Linares, OA, 2015
)
0.42
" IR/ER HB/APAP tablets deliver 25% of the HB dose and 50% of the APAP dose by IR and the remainder by ER over a 12-hour dosing interval."( Tolerability of Biphasic-Release Hydrocodone Bitartrate/Acetaminophen Tablets (MNK-155): A Phase III, Multicenter, Open-Label Study in Patients With Osteoarthritis or Chronic Low Back Pain.
Barrett, T; Chen, Y; Giuliani, MJ; Hisaw, E; Kostenbader, K; Young, JL; Zheng, Y, 2015
)
0.42
" Zohydro ER is dosed twice daily and costs more."( Extended-release hydrocodone (Hysingla ER) for pain.
, 2015
)
0.42
"To evaluate the durability of pain relief provided by a new formulation of single-entity, hydrocodone extended-release (ER) (Zohydro(®) ER) throughout the 12-hour dosing interval by examining patterns of rescue medication use."( An Analysis of Rescue Medication Utilization from a 3-Month, Randomized, Double-Blind, Placebo-Controlled Study in Patients with Chronic Low Back Pain Treated with Single-Entity, Twice-Daily, Extended-Release Hydrocodone.
deLeon-Casasola, OA; Galer, BS; Gammaitoni, A; Gould, E; Nalamachu, S; Robinson, CY, 2015
)
0.42
"7% of the dosing days, respectively."( An Analysis of Rescue Medication Utilization from a 3-Month, Randomized, Double-Blind, Placebo-Controlled Study in Patients with Chronic Low Back Pain Treated with Single-Entity, Twice-Daily, Extended-Release Hydrocodone.
deLeon-Casasola, OA; Galer, BS; Gammaitoni, A; Gould, E; Nalamachu, S; Robinson, CY, 2015
)
0.42
"In this study, the coadministration of single-dose HYD with paroxetine at steady state did not alter systemic exposure to hydrocodone, suggesting that HYD can be coadministered with CYP2D6 inhibitors at therapeutic doses, without dosage modification."( Effects of paroxetine, a CYP2D6 inhibitor, on the pharmacokinetic properties of hydrocodone after coadministration with a single-entity, once-daily, extended-release hydrocodone tablet.
Cipriano, A; Friedman, K; Harris, SC; Kapil, RP; Michels, G; Mondal, SA; Shet, M, 2015
)
0.42
" Venous blood samples were taken periodically up to 24 hours postdosing after the single dose (study 1) or after 7 days of dosing (study 2) and were assayed for concentrations of hydrocodone and its major metabolites."( A pharmacokinetic evaluation of single and multiple doses of extended-release hydrocodone bitartrate in subjects experiencing surgical or osteoarthritic pain.
Farr, SJ; Robinson, CY; Rubino, CM,
)
0.13
" All doses of hydrocodone-ER formulations provided prolonged and sustained release of hydrocodone throughout the 12-hour dosing interval with reduced peak-to-trough fluctuation at steady state compared with hydrocodone/acetaminophen-IR comparator."( A pharmacokinetic evaluation of single and multiple doses of extended-release hydrocodone bitartrate in subjects experiencing surgical or osteoarthritic pain.
Farr, SJ; Robinson, CY; Rubino, CM,
)
0.13
"The sustained plasma concentrations of hydrocodone support twice-daily dosing with a 12-hour dosing interval."( A pharmacokinetic evaluation of single and multiple doses of extended-release hydrocodone bitartrate in subjects experiencing surgical or osteoarthritic pain.
Farr, SJ; Robinson, CY; Rubino, CM,
)
0.13
" In the long-term study, pain control was consistent over the 24-hour dosing interval."( Pharmacokinetic Profile and Sustained 24-hour Analgesia of a Once-daily Hydrocodone Bitartrate Extended-release Tablet with Abuse-deterrent Properties.
Cipriano, A; Colucci, SV; Harris, SC; He, E; Kapil, RP; Wen, W; Yu Lynch, S, 2016
)
0.43
" Notably, analgesia provided by HYD is sustained during the 24-hour dosing interval."( Pharmacokinetic Profile and Sustained 24-hour Analgesia of a Once-daily Hydrocodone Bitartrate Extended-release Tablet with Abuse-deterrent Properties.
Cipriano, A; Colucci, SV; Harris, SC; He, E; Kapil, RP; Wen, W; Yu Lynch, S, 2016
)
0.43
" These patients required higher dosing and prolonged infusions of naloxone."( Fatal Fentanyl: One Pill Can Kill.
Adams, AJ; Albertson, TE; Black, HB; Chenoweth, JA; Colby, DK; Davis, MT; Ford, JB; Gerona, RR; Owen, KP; Roche, BM; Sutter, ME, 2017
)
0.46
" Mean "pain right now" scores were similar at dosing and 12 hours later."( Hysingla® ER, a once-daily, single-entity hydrocodone with abuse-deterrent properties in treating chronic nonmalignant and nonneuropathic pain in patients with osteoarthritis.
Baldridge, S; He, E; Ripa, SR; Taber, L, 2017
)
0.46
"Burn victim patients are frequently prescribed opioids at doses that are significantly higher than standard analgesic dosing guidelines, and, even despite an escalation in opioid dosing, many continue to experience pain."( Burn injury decreases the antinociceptive effects of opioids.
Bates, MLS; Eitan, S; Emery, MA; Wellman, PJ, 2017
)
0.46
" Blood samples were taken, and Drug Liking scores (assessed on a bipolar visual analog scale) were obtained throughout each dosing interval."( Pharmacokinetics and Abuse Potential of Benzhydrocodone, a Novel Prodrug of Hydrocodone, After Intranasal Administration in Recreational Drug Users.
Barrett, AC; Dickerson, D; Guenther, SM; Mickle, TC; Roupe, KA; Webster, LR; Zhou, J, 2018
)
0.48
" Further research to assess adverse events and other dosing may be warranted."( Effect of a Single Dose of Oral Opioid and Nonopioid Analgesics on Acute Extremity Pain in the Emergency Department: A Randomized Clinical Trial.
Baer, J; Barnaby, DP; Bijur, PE; Chang, AK; Esses, D, 2017
)
0.46
" Discharge prescription in morphine milligram equivalents (MMEs, a standardized dosing unit that allows for comparison across opioid types) was calculated."( Prescription Opioid Type and the Likelihood of Prolonged Opioid Use After Orthopaedic Surgery.
Basilico, M; Bhashyam, AR; Harris, MB; Heng, M, 2019
)
0.51
"Once a baseline incidence is known, predictors for serious ORADEs in surgical inpatients are useful in guiding medical-surgical nurses' opioid safety practices, with more frequent focused respiratory assessments before opioid dosing and closer monitoring when opioids are prescribed postoperatively, especially in higher-risk surgical inpatients."( Incidence of and predictors for serious opioid-related adverse drug events.
Atem, FD; Denke, L; Khazzam, M, 2022
)
0.72
" ITS analyses showed that immediately postrescheduling, quarterly hydrocodone dispensing decreased by 177M dosage units while codeine, oxycodone, and morphine dispensing increased by 49M, 62M, and 4M dosage units, respectively."( The impact of hydrocodone rescheduling on utilization, abuse, misuse, and overdose deaths.
Ajao, A; Chai, GP; Ding, Y; Gill, R; Karami, S; Major, JM; McAninch, J; Meyer, T; Secora, A; Wong, J; Zhang, D; Zhao, Y, 2023
)
0.91
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (3)

RoleDescription
mu-opioid receptor agonistA compound that exhibits agonist activity at the mu-opioid receptor.
opioid analgesicA narcotic or opioid substance, synthetic or semisynthetic agent producing profound analgesia, drowsiness, and changes in mood.
antitussiveAn agent that suppresses cough. Antitussives have a central or a peripheral action on the cough reflex, or a combination of both. Compare with expectorants, which are considered to increase the volume of secretions in the respiratory tract, so facilitating their removal by ciliary action and coughing, and mucolytics, which decrease the viscosity of mucus, facilitating its removal by ciliary action and expectoration.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (2)

ClassDescription
organic heteropentacyclic compound
morphinane-like compoundAny organonitrogen heterocyclic compound based on a morphinan skeleton. These are synthetic or semi-synthetic compounds that resemble the morphinane (opioid) alkaloids in their pharmacological effects.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Pathways (1)

PathwayProteinsCompounds
Hydrocodone Action Pathway3111

Protein Targets (7)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
phosphopantetheinyl transferaseBacillus subtilisPotency112.20200.141337.9142100.0000AID1490
peripheral myelin protein 22Rattus norvegicus (Norway rat)Potency12.81780.005612.367736.1254AID624032
lamin isoform A-delta10Homo sapiens (human)Potency8.91250.891312.067628.1838AID1487
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Solute carrier family 22 member 1 Homo sapiens (human)IC50 (µMol)536.96000.21005.553710.0000AID1526751
Mu-type opioid receptorHomo sapiens (human)Ki0.00950.00000.419710.0000AID670110
Kappa-type opioid receptorHomo sapiens (human)Ki0.26000.00000.362410.0000AID670111
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Mas-related G-protein coupled receptor member X2Homo sapiens (human)EC50 (µMol)15.00000.14003.73818.9000AID1802708; AID1802709
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (75)

Processvia Protein(s)Taxonomy
xenobiotic metabolic processSolute carrier family 22 member 1 Homo sapiens (human)
neurotransmitter transportSolute carrier family 22 member 1 Homo sapiens (human)
serotonin transportSolute carrier family 22 member 1 Homo sapiens (human)
establishment or maintenance of transmembrane electrochemical gradientSolute carrier family 22 member 1 Homo sapiens (human)
organic cation transportSolute carrier family 22 member 1 Homo sapiens (human)
quaternary ammonium group transportSolute carrier family 22 member 1 Homo sapiens (human)
prostaglandin transportSolute carrier family 22 member 1 Homo sapiens (human)
monoamine transportSolute carrier family 22 member 1 Homo sapiens (human)
putrescine transportSolute carrier family 22 member 1 Homo sapiens (human)
spermidine transportSolute carrier family 22 member 1 Homo sapiens (human)
acetylcholine transportSolute carrier family 22 member 1 Homo sapiens (human)
dopamine transportSolute carrier family 22 member 1 Homo sapiens (human)
norepinephrine transportSolute carrier family 22 member 1 Homo sapiens (human)
thiamine transportSolute carrier family 22 member 1 Homo sapiens (human)
xenobiotic transportSolute carrier family 22 member 1 Homo sapiens (human)
epinephrine transportSolute carrier family 22 member 1 Homo sapiens (human)
serotonin uptakeSolute carrier family 22 member 1 Homo sapiens (human)
norepinephrine uptakeSolute carrier family 22 member 1 Homo sapiens (human)
thiamine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
metanephric proximal tubule developmentSolute carrier family 22 member 1 Homo sapiens (human)
purine-containing compound transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
dopamine uptakeSolute carrier family 22 member 1 Homo sapiens (human)
monoatomic cation transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
transport across blood-brain barrierSolute carrier family 22 member 1 Homo sapiens (human)
(R)-carnitine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
acyl carnitine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
spermidine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
cellular detoxificationSolute carrier family 22 member 1 Homo sapiens (human)
xenobiotic transport across blood-brain barrierSolute carrier family 22 member 1 Homo sapiens (human)
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messengerMu-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled acetylcholine receptor signaling pathwayMu-type opioid receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayMu-type opioid receptorHomo sapiens (human)
sensory perceptionMu-type opioid receptorHomo sapiens (human)
negative regulation of cell population proliferationMu-type opioid receptorHomo sapiens (human)
sensory perception of painMu-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor signaling pathwayMu-type opioid receptorHomo sapiens (human)
behavioral response to ethanolMu-type opioid receptorHomo sapiens (human)
positive regulation of neurogenesisMu-type opioid receptorHomo sapiens (human)
negative regulation of Wnt protein secretionMu-type opioid receptorHomo sapiens (human)
positive regulation of ERK1 and ERK2 cascadeMu-type opioid receptorHomo sapiens (human)
calcium ion transmembrane transportMu-type opioid receptorHomo sapiens (human)
cellular response to morphineMu-type opioid receptorHomo sapiens (human)
regulation of cellular response to stressMu-type opioid receptorHomo sapiens (human)
regulation of NMDA receptor activityMu-type opioid receptorHomo sapiens (human)
neuropeptide signaling pathwayMu-type opioid receptorHomo sapiens (human)
immune responseKappa-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
chemical synaptic transmissionKappa-type opioid receptorHomo sapiens (human)
sensory perceptionKappa-type opioid receptorHomo sapiens (human)
locomotory behaviorKappa-type opioid receptorHomo sapiens (human)
sensory perception of painKappa-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting opioid receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
response to insulinKappa-type opioid receptorHomo sapiens (human)
positive regulation of dopamine secretionKappa-type opioid receptorHomo sapiens (human)
negative regulation of luteinizing hormone secretionKappa-type opioid receptorHomo sapiens (human)
response to nicotineKappa-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
maternal behaviorKappa-type opioid receptorHomo sapiens (human)
eating behaviorKappa-type opioid receptorHomo sapiens (human)
response to estrogenKappa-type opioid receptorHomo sapiens (human)
estrous cycleKappa-type opioid receptorHomo sapiens (human)
response to ethanolKappa-type opioid receptorHomo sapiens (human)
regulation of saliva secretionKappa-type opioid receptorHomo sapiens (human)
behavioral response to cocaineKappa-type opioid receptorHomo sapiens (human)
sensory perception of temperature stimulusKappa-type opioid receptorHomo sapiens (human)
defense response to virusKappa-type opioid receptorHomo sapiens (human)
cellular response to lipopolysaccharideKappa-type opioid receptorHomo sapiens (human)
cellular response to glucose stimulusKappa-type opioid receptorHomo sapiens (human)
positive regulation of p38MAPK cascadeKappa-type opioid receptorHomo sapiens (human)
positive regulation of potassium ion transmembrane transportKappa-type opioid receptorHomo sapiens (human)
response to acrylamideKappa-type opioid receptorHomo sapiens (human)
positive regulation of eating behaviorKappa-type opioid receptorHomo sapiens (human)
conditioned place preferenceKappa-type opioid receptorHomo sapiens (human)
neuropeptide signaling pathwayKappa-type opioid receptorHomo sapiens (human)
sensory perception of painMas-related G-protein coupled receptor member X2Homo sapiens (human)
sleepMas-related G-protein coupled receptor member X2Homo sapiens (human)
positive regulation of cytokinesisMas-related G-protein coupled receptor member X2Homo sapiens (human)
mast cell degranulationMas-related G-protein coupled receptor member X2Homo sapiens (human)
mast cell activationMas-related G-protein coupled receptor member X2Homo sapiens (human)
G protein-coupled receptor signaling pathwayMas-related G-protein coupled receptor member X2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (30)

Processvia Protein(s)Taxonomy
acetylcholine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
neurotransmitter transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
dopamine:sodium symporter activitySolute carrier family 22 member 1 Homo sapiens (human)
norepinephrine:sodium symporter activitySolute carrier family 22 member 1 Homo sapiens (human)
protein bindingSolute carrier family 22 member 1 Homo sapiens (human)
monoamine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
secondary active organic cation transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
organic anion transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
organic cation transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
prostaglandin transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
pyrimidine nucleoside transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
thiamine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
putrescine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
spermidine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
quaternary ammonium group transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
toxin transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
identical protein bindingSolute carrier family 22 member 1 Homo sapiens (human)
xenobiotic transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
(R)-carnitine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
G-protein alpha-subunit bindingMu-type opioid receptorHomo sapiens (human)
G protein-coupled receptor activityMu-type opioid receptorHomo sapiens (human)
beta-endorphin receptor activityMu-type opioid receptorHomo sapiens (human)
voltage-gated calcium channel activityMu-type opioid receptorHomo sapiens (human)
protein bindingMu-type opioid receptorHomo sapiens (human)
morphine receptor activityMu-type opioid receptorHomo sapiens (human)
G-protein beta-subunit bindingMu-type opioid receptorHomo sapiens (human)
neuropeptide bindingMu-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor activityKappa-type opioid receptorHomo sapiens (human)
protein bindingKappa-type opioid receptorHomo sapiens (human)
receptor serine/threonine kinase bindingKappa-type opioid receptorHomo sapiens (human)
dynorphin receptor activityKappa-type opioid receptorHomo sapiens (human)
neuropeptide bindingKappa-type opioid receptorHomo sapiens (human)
G protein-coupled receptor activityMas-related G-protein coupled receptor member X2Homo sapiens (human)
neuropeptide bindingMas-related G-protein coupled receptor member X2Homo sapiens (human)
mast cell secretagogue receptor activityMas-related G-protein coupled receptor member X2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (24)

Processvia Protein(s)Taxonomy
plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
basal plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
membraneSolute carrier family 22 member 1 Homo sapiens (human)
basolateral plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
apical plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
lateral plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
presynapseSolute carrier family 22 member 1 Homo sapiens (human)
endosomeMu-type opioid receptorHomo sapiens (human)
endoplasmic reticulumMu-type opioid receptorHomo sapiens (human)
Golgi apparatusMu-type opioid receptorHomo sapiens (human)
plasma membraneMu-type opioid receptorHomo sapiens (human)
axonMu-type opioid receptorHomo sapiens (human)
dendriteMu-type opioid receptorHomo sapiens (human)
perikaryonMu-type opioid receptorHomo sapiens (human)
synapseMu-type opioid receptorHomo sapiens (human)
plasma membraneMu-type opioid receptorHomo sapiens (human)
neuron projectionMu-type opioid receptorHomo sapiens (human)
nucleoplasmKappa-type opioid receptorHomo sapiens (human)
mitochondrionKappa-type opioid receptorHomo sapiens (human)
cytosolKappa-type opioid receptorHomo sapiens (human)
plasma membraneKappa-type opioid receptorHomo sapiens (human)
membraneKappa-type opioid receptorHomo sapiens (human)
sarcoplasmic reticulumKappa-type opioid receptorHomo sapiens (human)
T-tubuleKappa-type opioid receptorHomo sapiens (human)
dendriteKappa-type opioid receptorHomo sapiens (human)
synaptic vesicle membraneKappa-type opioid receptorHomo sapiens (human)
presynaptic membraneKappa-type opioid receptorHomo sapiens (human)
perikaryonKappa-type opioid receptorHomo sapiens (human)
axon terminusKappa-type opioid receptorHomo sapiens (human)
postsynaptic membraneKappa-type opioid receptorHomo sapiens (human)
plasma membraneKappa-type opioid receptorHomo sapiens (human)
neuron projectionKappa-type opioid receptorHomo sapiens (human)
membraneMas-related G-protein coupled receptor member X2Homo sapiens (human)
plasma membraneMas-related G-protein coupled receptor member X2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (39)

Assay IDTitleYearJournalArticle
AID128214Narcotic agonistic activity in acetic acid mouse writhing assay after subcutaneous administration of the drug1981Journal of medicinal chemistry, Dec, Volume: 24, Issue:12
Analgesic narcotic antagonists. 8. 7 alpha-Alkyl-4,5 alpha-epoxymorphinan-6-ones.
AID178144Analgesic agonist activity in heat stimulus rat tail-flick assay on subcutaneous administration1981Journal of medicinal chemistry, Jun, Volume: 24, Issue:6
Analgesic narcotic antagonists. 5. 7,7-Dimethyldihydrocodeinones and 7,7-dimethyldihydromorphinones.
AID670114Displacement of [3H]-naltrindole from human delta opioid receptor expressed in CHO cells at 10 uM after 3 hrs by scintillation counting2012Journal of medicinal chemistry, Apr-26, Volume: 55, Issue:8
Synthesis, binding affinity, and functional in vitro activity of 3-benzylaminomorphinan and 3-benzylaminomorphine ligands at opioid receptors.
AID670111Displacement of [3H]-U69,593 from human kappa opioid receptor expressed in CHO cells after 60 mins by scintillation counting2012Journal of medicinal chemistry, Apr-26, Volume: 55, Issue:8
Synthesis, binding affinity, and functional in vitro activity of 3-benzylaminomorphinan and 3-benzylaminomorphine ligands at opioid receptors.
AID128307Agonistic activity by mouse acetic acid writhing test.1982Journal of medicinal chemistry, Aug, Volume: 25, Issue:8
Novel opiates and antagonists. 4. 7-Alkanoylhydromorphones.
AID678722Covalent binding affinity to human liver microsomes assessed per mg of protein at 10 uM after 60 mins presence of NADPH2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID178138Compound was tested for analgesic activity by tail-flick assay in rat after subcutaneous administration1981Journal of medicinal chemistry, Jun, Volume: 24, Issue:6
Analgesic narcotic antagonists. 6. 7 beta, 8 beta-Methano- and 7 beta, 8 beta-epoxydihydrocodeinone.
AID128023Compound was tested for analgesia in mouse writhing assay by subcutaneous administration1980Journal of medicinal chemistry, Dec, Volume: 23, Issue:12
Analgesic narcotic antagonists. 4. 7-Methyl-N-(cycloalkylmethyl)-3-hydroxymorphinan-6-ones and -isomorphinan-6-ones.
AID1526751Inhibition of human OCT1 expressed in HEK293 cells assessed as reduction in ASP+ substrate uptake by microplate reader based analysis2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1526733Substrate activity at human OCT1 expressed in HEK293 cells assessed as increase in compound uptake at 0.5 uM incubated for 2 mins by LC-MS/MS analysis relative to control empty vector transfected cells2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1526732Substrate activity at human OCT1 expressed in HEK293 cells assessed as increase in compound uptake at 0.1 uM incubated for 2 mins by LC-MS/MS analysis relative to control empty vector transfected cells2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID678716Inhibition of human CYP3A4 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using diethoxyfluorescein as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID678712Inhibition of human CYP1A2 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using ethoxyresorufin as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID1526731Substrate activity at human OCT1 expressed in HEK293 cells assessed as increase in compound uptake at 0.05 uM incubated for 2 mins by LC-MS/MS analysis relative to control empty vector transfected cells2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID678714Inhibition of human CYP2C19 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 3-butyryl-7-methoxycoumarin as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID131018Analgesic agonist activity in acetic acid induced mouse writhing assay, subcutaneous administration1981Journal of medicinal chemistry, Jun, Volume: 24, Issue:6
Analgesic narcotic antagonists. 5. 7,7-Dimethyldihydrocodeinones and 7,7-dimethyldihydromorphinones.
AID678715Inhibition of human CYP2D6 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 4-methylaminoethyl-7-methoxycoumarin as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID298031Lipophilicity, log D at pH7.42007Journal of medicinal chemistry, Sep-20, Volume: 50, Issue:19
High-throughput screening of drug-brain tissue binding and in silico prediction for assessment of central nervous system drug delivery.
AID127831Narcotic agonist activity using acetic acid induced writhing in the mouse upon subcutaneous administration1983Journal of medicinal chemistry, Jul, Volume: 26, Issue:7
Analgesic narcotic antagonists. 15. Potent narcotic agonist 7 beta-(arylalkyl)-4,5 alpha-epoxymorphinans.
AID298032Acid dissociation constant, pKa of the compound2007Journal of medicinal chemistry, Sep-20, Volume: 50, Issue:19
High-throughput screening of drug-brain tissue binding and in silico prediction for assessment of central nervous system drug delivery.
AID178161Antagonist activity in rat tail flick assay by subcutaneous administration1980Journal of medicinal chemistry, Dec, Volume: 23, Issue:12
Analgesic narcotic antagonists. 4. 7-Methyl-N-(cycloalkylmethyl)-3-hydroxymorphinan-6-ones and -isomorphinan-6-ones.
AID128027Compound was tested for analgesic activity by writhing assay in mouse after subcutaneous administration1981Journal of medicinal chemistry, Jun, Volume: 24, Issue:6
Analgesic narcotic antagonists. 6. 7 beta, 8 beta-Methano- and 7 beta, 8 beta-epoxydihydrocodeinone.
AID678717Inhibition of human CYP3A4 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 7-benzyloxyquinoline as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID678713Inhibition of human CYP2C9 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 7-methoxy-4-trifluoromethylcoumarin-3-acetic acid as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID670116Selectivity index, ratio of inhibition of human kappa opioid receptor to inhibition of human mu opioid receptor2012Journal of medicinal chemistry, Apr-26, Volume: 55, Issue:8
Synthesis, binding affinity, and functional in vitro activity of 3-benzylaminomorphinan and 3-benzylaminomorphine ligands at opioid receptors.
AID132133The effective dose was measured by using mouse writhing assay after the compound administered subcutaneously.1980Journal of medicinal chemistry, Feb, Volume: 23, Issue:2
Analgesic narcotic antagonists. 2. 8-Alkymorphinan-6-ones.
AID180157Effective dose was measured by using rat tail flick assay after subcutaneous administration1980Journal of medicinal chemistry, Feb, Volume: 23, Issue:2
Analgesic narcotic antagonists. 2. 8-Alkymorphinan-6-ones.
AID178325Compound was tested for antinociceptive activity in heat stimulus rat tail flick assay after subcutaneous administration of the drug1981Journal of medicinal chemistry, Dec, Volume: 24, Issue:12
Analgesic narcotic antagonists. 8. 7 alpha-Alkyl-4,5 alpha-epoxymorphinan-6-ones.
AID177776Analgesic activity measured by rat tail flick assay following s.c. administration.1980Journal of medicinal chemistry, Feb, Volume: 23, Issue:2
Analgesic narcotic antagonists. 1. 8 beta-Alkyl-, 8 beta-acyl-, and 8 beta-(tertiary alcohol)dihydrocodeinones and -dihydromorphinones.
AID128495Analgesic activity was measured by acetic acid writhing test in mouse by giving subcutaneous injection1980Journal of medicinal chemistry, Feb, Volume: 23, Issue:2
Analgesic narcotic antagonists. 1. 8 beta-Alkyl-, 8 beta-acyl-, and 8 beta-(tertiary alcohol)dihydrocodeinones and -dihydromorphinones.
AID670110Displacement of [3H]-DAMGO from human mu opioid receptor expressed in CHO cells after 60 mins by scintillation counting2012Journal of medicinal chemistry, Apr-26, Volume: 55, Issue:8
Synthesis, binding affinity, and functional in vitro activity of 3-benzylaminomorphinan and 3-benzylaminomorphine ligands at opioid receptors.
AID678721Metabolic stability in human liver microsomes assessed as GSH adduct formation at 100 uM after 90 mins by HPLC-MS analysis2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID1526752Passive membrane permeability by LC-MS/MS analysis based PAMPA2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID670115Selectivity index, ratio of inhibition of human delta opioid receptor to inhibition of human mu opioid receptor2012Journal of medicinal chemistry, Apr-26, Volume: 55, Issue:8
Synthesis, binding affinity, and functional in vitro activity of 3-benzylaminomorphinan and 3-benzylaminomorphine ligands at opioid receptors.
AID504749qHTS profiling for inhibitors of Plasmodium falciparum proliferation2011Science (New York, N.Y.), Aug-05, Volume: 333, Issue:6043
Chemical genomic profiling for antimalarial therapies, response signatures, and molecular targets.
AID1346364Human mu receptor (Opioid receptors)2012Journal of medicinal chemistry, Apr-26, Volume: 55, Issue:8
Synthesis, binding affinity, and functional in vitro activity of 3-benzylaminomorphinan and 3-benzylaminomorphine ligands at opioid receptors.
AID1346329Human kappa receptor (Opioid receptors)2012Journal of medicinal chemistry, Apr-26, Volume: 55, Issue:8
Synthesis, binding affinity, and functional in vitro activity of 3-benzylaminomorphinan and 3-benzylaminomorphine ligands at opioid receptors.
AID1802708Intracellular Calcium Mobilization Assay from Article 10.1038/nchembio.2334: \\In silico design of novel probes for the atypical opioid receptor MRGPRX2.\\2017Nature chemical biology, 05, Volume: 13, Issue:5
In silico design of novel probes for the atypical opioid receptor MRGPRX2.
AID1802709PRESTO-Tango Assay from Article 10.1038/nchembio.2334: \\In silico design of novel probes for the atypical opioid receptor MRGPRX2.\\2017Nature chemical biology, 05, Volume: 13, Issue:5
In silico design of novel probes for the atypical opioid receptor MRGPRX2.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (632)

TimeframeStudies, This Drug (%)All Drugs %
pre-199050 (7.91)18.7374
1990's39 (6.17)18.2507
2000's133 (21.04)29.6817
2010's319 (50.47)24.3611
2020's91 (14.40)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials149 (20.58%)5.53%
Reviews30 (4.14%)6.00%
Case Studies67 (9.25%)4.05%
Observational13 (1.80%)0.25%
Other465 (64.23%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (107)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Quantifying Narcotic Use in Outpatient Otolaryngology Procedures [NCT03404518]Phase 3185 participants (Actual)Interventional2018-02-21Completed
An Open-Label, Single-Dose Study to Assess the Pharmacokinetics of the Hydrocodone Bitartrate Extended-Release Tablet (45 mg) in Subjects With Normal Renal Function and Subjects With Varying Degrees of Renal Impairment [NCT01319266]Phase 155 participants (Actual)Interventional2011-03-31Completed
A Randomized, Double-Blind, Placebo-Controlled Trial to Compare the Analgesic Efficacy and Safety of Naproxen Sodium Tablets and Hydrocodone/Acetaminophen Tablets in Postsurgical Dental Pain [NCT04307940]Phase 4221 participants (Actual)Interventional2020-03-12Completed
Traditional vs. Nonopioid Analgesia After Rotator Cuff Repair [NCT03818919]Phase 2100 participants (Anticipated)Interventional2019-01-22Recruiting
SAFER-SIM: Opiates and Benzodiazepines on Driving [NCT03447353]Phase 418 participants (Actual)Interventional2016-06-14Completed
Multimodal Anesthesia and Analgesia for Total Shoulder and Reverse Total Shoulder Arthroplasty: A Randomized Controlled Trial [NCT03586934]Phase 30 participants (Actual)Interventional2018-06-01Withdrawn(stopped due to Difficult to enroll patients for the study)
Ultrasound-guided (US) Serratus Anterior Plane Block (SAPB) for Acute Rib Fractures in the Emergency Department (ED) [NCT03619785]Phase 470 participants (Anticipated)Interventional2018-11-06Recruiting
Analgesic Response to Opioid Analgesics in Buprenorphine-Maintained Individuals [NCT02136784]12 participants (Anticipated)Interventional2014-04-30Recruiting
An Open-Label, Single-Dose, Parallel-Group Study to Assess the Pharmacokinetics of the Hydrocodone Bitartrate Extended-Release Tablet (15 mg) in Subjects With Normal Hepatic Function and Subjects With Moderate Hepatic Impairment [NCT01319279]Phase 116 participants (Actual)Interventional2011-04-30Completed
A Phase 1, Randomized, Open-Label, 2-Part Study to Evaluate the Safety and Pharmacokinetics of ETR028 Acetate and ETR029 Acetate in Healthy Adult Subjects [NCT05572190]Phase 178 participants (Anticipated)Interventional2022-09-27Recruiting
Post-operative Pain Management in Supracondylar Humerus Fractures: A Randomized, Double-blinded, Prospective Study [NCT04905563]Phase 4150 participants (Anticipated)Interventional2021-06-07Recruiting
Traditional vs. Nonopioid Analgesia After Anterior Cruciate Ligament Reconstruction [NCT03818932]Phase 2/Phase 362 participants (Actual)Interventional2019-01-22Completed
A Randomized Controlled Trial of Opioid vs Non-Opioid Postoperative Pain Management in Children With Supracondylar Humerus Fractures [NCT05640674]Phase 4100 participants (Anticipated)Interventional2023-09-12Enrolling by invitation
Pain Management With NSAIDS in Acute Ankle Fractures Type Supination, External Rotation (SER) II: A Prospective Randomized, Single Blinded Controlled Study [NCT02373254]Early Phase 11 participants (Actual)Interventional2015-01-31Completed
Are Narcotic Pain Medications Necessary Following Thyroidectomy and Parathyroidectomy [NCT03640247]Phase 1126 participants (Actual)Interventional2018-11-15Completed
A Randomized, Multicenter Study Comparing the Analgesic Efficacy and Safety of Hydrocodone / Acetaminophen Extended Release to Placebo in Subjects With Acute Pain Following Bunionectomy [NCT01333722]Phase 2100 participants (Actual)Interventional2011-04-30Completed
Assessing Perceived Quality of Care With Differing Pain Management Protocols After Outpatient Otolaryngology Procedures [NCT04976387]Phase 3150 participants (Actual)Interventional2021-07-02Completed
A Randomized, Controlled Trial Comparing Combination Therapy of Ibuprofen + Acetaminophen Versus Hydrocodone + Acetaminophen for the Treatment of Pain After Carpal Tunnel Surgery [NCT01974609]Phase 4347 participants (Actual)Interventional2016-03-31Completed
Comparing the Efficacy of Five Oral Analgesics for Treatment of Acute Musculoskeletal Extremity Pain in the Emergency Department [NCT03173456]Phase 2600 participants (Actual)Interventional2017-11-28Completed
A Single-Centre, Single Dose, Randomized,Open Label, Exploratory, 5-way Crossover Study Evaluating the Pharmakokinetic Profiles of Various Egalet® Hydrocodone Formulations In Healthy Volunteers Under Fasting Conditions. [NCT00802087]Phase 128 participants (Actual)Interventional2008-11-30Completed
Comparing Narcotics With Non-steroidal Anti-inflammatory Drugs (NSAIDS) Post-operatively in Pediatric Patients Undergoing Adenotonsillectomy [NCT02296840]Phase 445 participants (Actual)Interventional2014-11-30Terminated
A Relative Bioavailability Trial to Investigate the Pharmacokinetics of Different Amounts of Tablets of Two Immediate Release Fixed Dose Combinations of Hydrocodone Bitartrate 5 mg/Acetaminophen 325 mg (a New Abuse Deterrent Tablet and a Marketed Tablet) [NCT03137030]Phase 10 participants (Actual)Interventional2017-09-30Withdrawn(stopped due to program discontinued)
A Randomized, Double-Blind, Double-Dummy, Active- and Placebo-Controlled, 4-Way Crossover Study to Evaluate the Relative Abuse Potential of Hydrocodone Bitartrate and Acetaminophen 6 × 10/325 mg Tablets Compared to NORCO® 6 × 10/325 mg Tablets and Placebo [NCT03567941]Phase 132 participants (Actual)Interventional2017-12-29Completed
The Effects of Different Activation Protocols of Hycon Device and Vibration Stimulation on Orthodontic Canine Teeth Distalization [NCT03968263]25 participants (Anticipated)Interventional2019-02-08Active, not recruiting
The Effect of NSAIDs After a Rotator Cuff Repair Surgery. A Prospective Randomized Controlled Trial [NCT02153177]Phase 40 participants (Actual)Interventional2015-01-31Withdrawn(stopped due to The study was withdrawn prior to any participants being enrolled.)
Low-Dose Opiate Therapy for Discomfort in Dementia (L-DOT) [NCT00385684]Phase 411 participants (Actual)Interventional2007-10-31Completed
The Effect of Dexamethasone vs Vicodin in Reducing Post-operative Pain After Periodontal Surgery Among Patients at the Henry M. Goldman School of Dental Medicine Pilot Study [NCT04008043]Phase 40 participants (Actual)Interventional2020-02-29Withdrawn(stopped due to Inadequate resources to start the study at this site.)
Battlefield Acupuncture for Acute/Subacute Back Pain in the Emergency Department [NCT03996564]26 participants (Actual)Interventional2016-02-22Completed
A Study Designed to Examine the Potential for a Drug-drug Interaction Between Guaifenesin and Hydrocodone Bitartrate in Normal Healthy Volunteers [NCT03642873]Phase 124 participants (Actual)Interventional2007-05-05Completed
Traditional vs. Nonopioid Analgesia After Arthroscopic Meniscus Surgery [NCT03820193]Early Phase 161 participants (Actual)Interventional2019-01-22Completed
A Phase 3, Open-Label Period Followed by a Randomized, Double-blind, Placebo-controlled Study of the Analgesic Efficacy of Extended-release Hydrocodone/Acetaminophen (Vicodin CR) Compared to Placebo in Subjects With Chronic Low Back Pain [NCT00761150]Phase 3308 participants (Actual)Interventional2008-09-30Completed
An Open-Label, Randomized, Two-Period, Crossover Study to Evaluate the Bioequivalence of an Extended Release Test Capsule Formulation of Chlorpheniramine Polistirex and Hydrocodone Polistirex Compared to an Equivalent Dose of a Commercially Available Refe [NCT00853294]Phase 142 participants (Actual)Interventional2003-09-30Completed
Effect of Default Electronic Health Record Settings on Clinician Opioid Prescribing Patterns in Emergency Departments [NCT04155229]104 participants (Actual)Interventional2016-10-03Completed
Auricular Acupuncture for the Acute Management of Pain in the Emergency Department [NCT02540512]Early Phase 10 participants (Actual)Interventional2017-07-27Withdrawn(stopped due to No participants enrolled)
[NCT02618395]Phase 118 participants (Actual)Interventional2015-12-28Completed
Randomized Control Trial of Oral Narcotic Medication for Pain and Anxiety Management During Laceration Repair in the Pediatric Emergency Department [NCT01053637]85 participants (Actual)Interventional2009-02-28Completed
A Phase 3, Open-Label Period Followed by a Randomized, Double-blind Placebo-controlled Study of the Analgesic Efficacy of Extended-release Hydrocodone/Acetaminophen (Vicodin CR) Compared to Placebo in Subjects With Chronic Low Back Pain [NCT00763321]Phase 3287 participants (Actual)Interventional2008-09-30Completed
Use of Enhanced Recovery After Surgery (ERAS) in Minimizing Opioid Use for Patients Undergoing Thyroidectomy [NCT03988075]100 participants (Actual)Interventional2018-07-24Completed
A CTSC Clinical Research Center Study: A Comparison of the Addiction Liability of Hydrocodone and Sustained Release Morphine [NCT00314340]Phase 412 participants (Actual)Interventional2005-11-30Completed
An Open-Label Study Evaluating the Safety and Tolerability of Long Term Administration of Hydrocodone/Acetaminophen Extended ReleaseTablets (Vicodin® CR) in Subjects With Moderate to Severe Chronic, Non-Malignant Pain [NCT00195728]Phase 3431 participants (Actual)Interventional2005-06-30Completed
Local Anesthesia and Analgesics in Post-Operative Endodontic Pain [NCT01982799]0 participants (Actual)Interventional2014-02-28Withdrawn(stopped due to Not enough funding)
The Comparison of Supraperiosteal Nerve Block With Opiate Analgesia in Alleviating the Pain of Toothache [NCT00574015]Phase 418 participants (Actual)Interventional2007-12-31Completed
A Long-Term Open-Label Safety Study of Hydrocodone Bitartrate Controlled-Release Capsules With Flexible Dosing to Treat Subjects With Moderate to Severe Chronic Pain [NCT01115569]Phase 3424 participants (Actual)Interventional2010-05-31Completed
A Phase 2B, Open-label, Multicenter Study Evaluating the Safety, Pharmacokinetics, and Effectiveness of Hydrocodone Bitartrate Extended-Release Tablets (HYD) in Children, Aged 12 to 17 Years Inclusive, With Moderate to Severe Malignant and/or Nonmalignant [NCT02542098]Phase 20 participants (Actual)Interventional2017-01-31Withdrawn(stopped due to Study has been updated with a new protocol number)
A Randomized, Double-Blind, Placebo- and Active-Controlled Study to Determine the Efficacy and Safety of CL-108 5 mg (Hydrocodone 5 mg/Acetaminophen 325 mg/Promethazine 12.5 mg) as a Treatment for Moderate-to-Severe Acute Pain and the Prevention of Opioid [NCT03657810]Phase 3349 participants (Actual)Interventional2017-08-02Completed
A Double-Blind, Randomized, Active- and Placebo-Controlled, Multiple-Dose, Multi-Center Phase 3 Study of the Safety and Efficacy of CL-108 in the Treatment of Moderate to Severe Pain and Opioid-Induced Nausea and Vomiting (OINV) [NCT02462811]Phase 3552 participants (Actual)Interventional2014-09-30Completed
A Randomized Double-Blind, Placebo-Controlled Trial to Evaluate the Efficacy, Tolerability and Safety of Hydrocodone Bitartrate Controlled-Release Capsules in Opioid-experienced Subjects With Moderate to Severe Chronic Low Back Pain [NCT01081912]Phase 3510 participants (Actual)Interventional2010-03-31Completed
A Randomized, Multicenter, Single-Blind Study Comparing Hydrocodone/Acetaminophen Extended Release 10/650, Morphine Extended Release, and Acetaminophen to Placebo in Subjects With Acute Pain Following Bunionectomy [NCT01038609]Phase 2250 participants (Actual)Interventional2009-12-31Completed
An Open-Label, Randomized, Two-Period, Crossover Study to Evaluate the Bioequivalence of an Extended Release Test Capsule Formulation of Chlorpheniramine Polistirex and Hydrocodone Polistirex Compared to an Equivalent Dose of a Commercially Available Refe [NCT00853190]Phase 143 participants (Actual)Interventional2003-09-30Completed
A 12-Month, Open-Label Study to Evaluate the Long-Term Safety of Hydrocodone Bitartrate Extended-Release Tablets (CEP-33237) at 15 to 90 mg Every 12 Hours in Patients Who Require Opioid Treatment for an Extended Period of Time [NCT01223365]Phase 3330 participants (Actual)Interventional2010-10-31Completed
A 12-Week, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Hydrocodone Bitartrate Extended-Release Tablets (CEP-33237) at 15 to 90 mg Every 12 Hours for Relief of Moderate to Severe Pain in Patients With Osteoarth [NCT01240863]Phase 3391 participants (Actual)Interventional2010-11-30Completed
A Double-Blind, Randomized, Placebo-Controlled, Multiple-dose Multi-Center Phase III Study of the Safety and Efficacy of Cl-108 in the Treatment of Moderate to Severe Pain [NCT01780428]Phase 3460 participants (Actual)Interventional2013-01-31Completed
Evaluation of the Effect of Renal Impairment on the Pharmacokinetics and Metabolism of Hydrocodone and Its Metabolites Following Administration of Hydrocodone Bitartrate Extended-Release (HC-ER) 20 mg Capsules [NCT02244762]Phase 137 participants (Actual)Interventional2011-02-28Completed
Evaluation of the Effect of Hepatic Impairment on the Pharmacokinetics and Metabolism of Hydrocodone and Its Metabolites Following Administration of Hydrocodone Bitartrate Extended-Release (HC-ER) 20mg Capsules [NCT02242734]Phase 130 participants (Actual)Interventional2011-02-28Completed
Multimodal Narcotic Limited Perioperative Pain Control With Colorectal Surgery as Part of an Enhanced Recovery After Surgery Protocol: A Randomized Prospective Single- Center Trial. [NCT02958566]Phase 480 participants (Anticipated)Interventional2017-01-31Recruiting
A Randomized, Multicenter, Double-blind Study Comparing the Analgesic Efficacy and Safety of Extended-Release Hydrocodone/Acetaminophen (Vicodin CR®) to Placebo in Subjects With Acute Pain Following Bunionectomy [NCT00402792]Phase 3150 participants (Actual)Interventional2006-12-31Completed
A Randomized, Double-Blind, Placebo-Controlled Study Comparing the Analgesic Activity of Hydrocodone/Acetaminophen Extended Release and Placebo in Subjects With Pain Following Bunionectomy Surgery [NCT00404391]Phase 2210 participants (Actual)Interventional2003-10-31Completed
A Randomized, Multi-center, Double-blind Study Comparing the Analgesic Efficacy and Safety of Extended Release Hydrocodone/Acetaminophen and Placebo in Subjects With Osteoarthritis [NCT00404183]Phase 2120 participants (Actual)Interventional2004-08-31Completed
A Randomized, Multicenter, Single-blind Study Comparing the Analgesic Efficacy and Safety of Extended Release Hydrocodone/Acetaminophen (Vicodin® CR) and Immediate Release Hydrocodone/Acetaminophen (NORCO®) to Placebo in Subjects With Acute Pain Following [NCT00404222]Phase 290 participants (Actual)Interventional2005-11-30Completed
Satisfaction With Pain Relief After Carpal Tunnel Release Surgery [NCT01588158]Phase 47 participants (Actual)Interventional2012-07-31Terminated(stopped due to The PI of this study is leaving the institution and enrollment was progressing slowly so we decided to close the study.)
A Single-Centre, Double-Blind, Randomized, Placebo-Controlled, Phase 1 Study to Evaluate the Interaction Between Vicodin® CR and Ethanol in Healthy Male and Female Moderate Alcohol Drinkers [NCT00429468]Phase 125 participants Interventional2007-01-31Completed
Randomized, Double-Blind, Placebo And Active Controlled, Study To Evaluate Two Strengths Of Concomitantly Dosed Naproxen Sodium With Acetaminophen, Compared With Naproxen Sodium and Hydrocodone/Acetaminophen In Postoperative Dental Pain [NCT03879408]Phase 2290 participants (Actual)Interventional2019-05-28Completed
Randomized, Double-Blind, Placebo-Controlled Trial of the Effect of Rofecoxib 50 mg and Hydrocodone 7.5 mg With Acetaminophen 750 mg in Patients With Postoperative Arthroscopic Pain [NCT00390260]Phase 3420 participants Interventional2002-02-28Completed
Postoperative Pain Control in Septum and Sinus Surgery: A Novel Approach. [NCT04149964]Phase 465 participants (Actual)Interventional2019-11-27Completed
A Comparison of the Efficacy and Safety of Tramadol HCl/Acetaminophen Versus Hydrocodone Bitartrate/Acetaminophen Versus Placebo in Subjects With Acute Musculoskeletal Pain [NCT00236535]Phase 3603 participants (Actual)Interventional2003-12-31Completed
An Evaluation of Hydrocodone/Acetaminophen for Pain Control in First Trimester Surgical Abortion [NCT01330459]Phase 4121 participants (Actual)Interventional2011-02-28Completed
A Phase 3, Randomized, Multicenter, Double-blind Study Comparing the Analgesic Efficacy of Extended Release Hydrocodone/Acetaminophen Tablets (Vicodin CR) to Placebo in Subjects With Osteoarthritis [NCT00298974]Phase 3873 participants (Actual)Interventional2006-02-28Completed
A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase 3 Study to Evaluate the Analgesic Efficacy and Safety of Hydrocodone Bitartrate/Acetaminophen Immediate-Release Tablets (TV-46763) at Doses of 5.0 mg/325 mg, 7.5 mg/325 mg, and 10 mg/325 m [NCT02487108]Phase 3569 participants (Actual)Interventional2015-08-11Completed
A Randomized, Open-Label, 2-Period, Crossover Study to Assess the Bioequivalence of Two 30-mg and One 60-mg Hydrocodone Bitartrate Extended-Release Tablet [NCT01758978]Phase 154 participants (Actual)Interventional2012-12-31Completed
A Randomized, Open-Label, 2-Period, Crossover Study to Assess the Bioequivalence of Two 45-mg and One 90-mg Hydrocodone Bitartrate Extended-Release Tablet [NCT01769677]Phase 154 participants (Actual)Interventional2013-01-31Completed
Evaluating the Pharmacokinetic Profile of Hydromorphone in Chronic Pain Patients Taking Hydrocodone/APAP [NCT01517295]Phase 430 participants (Actual)Interventional2012-02-29Completed
Are NSAIDs Effective Enough for Postoperative Pain Control After Functional Endoscopic Sinus Surgery and Septoplasty [NCT03605914]Phase 4100 participants (Actual)Interventional2018-08-01Completed
Post-tonsillectomy Pain Control in Adults: a Randomized Prospective Study [NCT02358850]Phase 427 participants (Actual)Interventional2016-01-31Terminated(stopped due to low enrollment)
Comparing the Efficacy of Oral Opioids for Outpatient Acute Pain Management After ED Discharge [NCT01402375]Phase 3720 participants (Actual)Interventional2012-01-31Completed
Project 1 Aim 2, Adaptations of the Brain in Chronic Pain With Opioid Exposure [NCT05463367]Phase 280 participants (Anticipated)Interventional2021-01-01Recruiting
Traditional vs. Nonopioid Analgesia After Labral Surgery [NCT03825809]Phase 2/Phase 3100 participants (Anticipated)Interventional2019-01-22Recruiting
Single-center, Open-Label, 3-Period Crossover, Phase 1 Study to Evaluate the Pharmacokinetics of Hydrocodone Bitartrate Extended-Release (HC-ER) Capsules 50 mg When Co-Administered With Alcohol in Healthy Subjects Under Fasted Conditions [NCT02126917]Phase 130 participants (Actual)Interventional2009-11-30Completed
A Pilot Study in Healthy Volunteers to Assess the Rate and Extent of Absorption of Hydrocodone From 20 mg Hydrocodone Bitartrate Extended-Release (HC-ER) Capsules, in Both Fed and Fasted States [NCT02117141]Phase 112 participants (Actual)Interventional2002-06-30Completed
A Randomized, Multicenter, Single-blind, Placebo-controlled Study Comparing the Analgesic Efficacy and Safety of Hydrocodone/ Acetaminophen Extended-release Tablets and Hydrocodone/Acetaminophen (NORCO) to Placebo in Subjects With Acute Pain Following Thi [NCT00935311]Phase 2122 participants (Actual)Interventional2009-06-30Completed
A Randomized, Double-Blind, Placebo-Controlled, Crossover Study to Assess the Abuse Potential of the Hydrocodone Bitartrate Extended-Release Tablet in Healthy, Nondependent, Recreational Opioid Users [NCT01596673]Phase 1100 participants (Actual)Interventional2012-03-31Completed
Levorphanol as a Second Line Opioid in Cancer Patients Undergoing Opioid Rotation: An Open Label Study [NCT03579446]Early Phase 143 participants (Actual)Interventional2018-11-29Completed
A Phase 3, Open-Label Period Followed By a Randomized, Double-Blind, Placebo-Controlled Study of the Analgesic Efficacy and Safety of Extended Release Hydrocodone/Acetaminophen (Vicodin® CR) Compared to Placebo in Subjects With Chronic Low Back Pain [NCT00325949]Phase 3770 participants (Actual)Interventional2006-05-31Completed
Post-Op Pain Control for Prophylactic Intramedullary Nailing. [NCT03823534]Phase 360 participants (Anticipated)Interventional2019-02-20Recruiting
An Open-label, Multicenter Study to Assess the Long -Term Safety of Hydrocodone Bitartrate (HYD) Tablets 20 to 120 mg Once-daily in Subjects With Moderate to Severe Chronic Nonmalignant and Nonneuropathic Pain [NCT01400139]Phase 3922 participants (Actual)Interventional2011-07-31Completed
Real-time Decision Support for Postoperative Nausea and Vomiting (PONV) Prophylaxis [NCT02625181]27,034 participants (Actual)Interventional2016-07-31Completed
Liposomal Bupivacaine in Implant Based Breast Reconstruction [NCT02659501]24 participants (Actual)Interventional2015-07-31Terminated
A Multicenter, Randomized, Double-blind, Placebo-controlled Study With an Open-label Run-in to Assess the Efficacy and Safety of Hydrocodone Bitartrate (HYD) Tablets 20 to 120 mg Once-daily in Subjects With Moderate to Severe Chronic Low Back Pain [NCT01452529]Phase 3905 participants (Actual)Interventional2011-10-31Completed
Bandage Contact Lenses to Decrease Pain and Improve Healing in Emergency Department Subjects Presenting With Corneal Abrasions [NCT03206723]Phase 260 participants (Anticipated)Interventional2017-07-01Recruiting
Effect of Gabapentin on Postoperative Opioid Analgesic Use and Pain in Adolescents Undergoing Tonsillectomy [NCT05024825]Phase 417 participants (Actual)Interventional2017-08-04Terminated(stopped due to recruitment target not met.)
A Relative Bioavailability Trial to Investigate the Pharmacokinetics of Two Immediate Release Fixed Dose Combinations of Hydrocodone Bitartrate and Acetaminophen (a New Abuse Deterrent Tablet and a Marketed Tablet) Administered Under Fasted and Fed Condit [NCT03137017]Phase 10 participants (Actual)Interventional2017-09-30Withdrawn(stopped due to program discontinued)
Comparative Efficacy of 4 Oral Analgesics for the Initial Management of Acute Musculoskeletal Extremity Pain [NCT02455518]Phase 4416 participants (Actual)Interventional2015-07-31Completed
A Multiple-Dose, Safety, Tolerability, and Pharmacokinetic Dose-Escalation Study of Hydrocodone Bitartrate Extended Release (HC-ER) in Patients With Chronic, Moderate to Severe Osteoarthritis Pain [NCT02222740]Phase 237 participants (Actual)Interventional2002-09-30Completed
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Active Comparator Study of Hydrocodone Bitartrate Extended Release (HC-ER) in Adults Following Bunionectomy Surgery [NCT02197156]Phase 2241 participants (Actual)Interventional2002-08-31Completed
A 12-Week, Randomized, Double-Blind, Placebo-Controlled, Randomized-Withdrawal Study to Evaluate the Efficacy and Safety of Hydrocodone Bitartrate Extended-Release Tablets (CEP-33237) at 30 to 90 mg Every 12 Hours for Relief of Moderate to Severe Pain in [NCT01789970]Phase 3625 participants (Actual)Interventional2013-03-31Completed
Analysis of Hydrocodone Compared to Acetaminophen and Ibuprofen for Post-nail Procedure Analgesia [NCT05544734]Phase 420 participants (Actual)Interventional2022-11-10Completed
A Prospective Evaluation of an Anesthesia Protocol to Reduce Post-operative and Post-discharge Nausea and Vomiting in a High Risk Orthognathic Surgery Population [NCT01592708]233 participants (Actual)Interventional2012-06-30Completed
A Phase 2, Randomized Withdrawal Study of the Analgesic Efficacy and Safety of Hydrocodone/Acetaminophen Extended Release Compared to Placebo in Subjects With Chronic Low Back Pain [NCT01364922]Phase 2168 participants (Actual)Interventional2011-06-30Completed
Post-operative Analgesia in Elective, Soft-tissue Hand Surgery: A Randomized, Double Blind Comparison of Acetaminophen/Ibuprofen Versus Acetaminophen/Hydrocodone [NCT02029235]Phase 472 participants (Actual)Interventional2015-02-10Terminated(stopped due to Early termination due to slower than anticipated recruitment.)
Multimodal Analgesia Effect on Post Surgical Patient [NCT04240626]Phase 460 participants (Anticipated)Interventional2021-01-20Recruiting
A Randomized Phase III Trial of Gabapentin Versus Standard of Care for Prevention and Treatment of Mucositis in Locally Advanced Head and Neck Cancer Patients Undergoing Primary or Adjuvant Chemoradiation [NCT02480114]Phase 379 participants (Actual)Interventional2015-07-31Completed
A Study Comparing Recurrent Use of Morphine Sulfate Immediate Release, Oxycodone/Acetaminophen (Percocet), and Hydrocodone/Acetaminophen (Vicodin) at Discharge From the ED in Opioid-naïve Adult Patients With Moderate to Severe Pain. [NCT03529331]Phase 40 participants (Actual)Interventional2019-09-01Withdrawn(stopped due to The ED physicians no longer prescribe opioids at discharge; not feasible to conduct the study)
Pain Management in Head and Neck Surgery Patients [NCT03121963]Phase 40 participants (Actual)Interventional2017-11-10Withdrawn(stopped due to This protocol was difficult to enroll into, and changes to personnel have made it difficult to main this study. Data collection was not completed and therefore, no data analysis was performed. The PI has made the decision to close this study.)
Hepatic Cytochrome Drug Interactions in Emergency Department Patients [NCT01859715]502 participants (Actual)Interventional2012-06-30Completed
Narcotic Versus Non-narcotic Medication for Pain Management After Wrist/Hand Fractures: a Randomized Controlled Trial [NCT03375593]Phase 4250 participants (Anticipated)Interventional2019-08-01Recruiting
Opioid-Free Pain Control Regiment Following Robotic Radical Prostatectomy: A Randomized Controlled Trial [NCT04939987]Phase 2/Phase 30 participants (Actual)Interventional2022-08-31Withdrawn(stopped due to PI left institution and study was not transferred to new PI)
A 6-Month, Open-Label, Extension Study to Evaluate the Safety of Hydrocodone Bitartrate Extended-Release Tablets (CEP-33237) at 15 to 90 mg Every 12 Hours for Relief of Moderate to Severe Pain in Patients With Chronic Low Back Pain Who Require Opioid Trea [NCT01922739]Phase 3182 participants (Actual)Interventional2013-07-31Completed
Peripheral Nerve Blocks in Pediatric Orthopedic Patients: Are There Any Post Recovery Benefits? [NCT02236130]49 participants (Actual)Interventional2014-06-30Terminated(stopped due to Poor response rate on follow up of patients)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00314340 (1) [back to overview]3 Scores on the Addiction Research Center Inventory (ARCI)
NCT00385684 (2) [back to overview]Pain Assessment in Advanced Dementia (PAINAD)
NCT00385684 (2) [back to overview]Pain Assessment in Advanced Dementia (PAINAD)
NCT00761150 (2) [back to overview]Change From Double-blind (DB) Baseline to Final Assessment in Chronic Lower Back Pain (CLBP) Intensity by Visual Analog Scale (VAS)
NCT00761150 (2) [back to overview]Change From Double-blind (DB) Baseline to Final Assessment in Chronic Pain Sleep Inventory (CPSI)
NCT00763321 (2) [back to overview]Change From Double-blind (DB) Baseline to Final Assessment in Chronic Lower Back Pain (CLBP) Intensity by Visual Analog Scale (VAS)
NCT00763321 (2) [back to overview]Change From Double-blind (DB) Baseline to Final Assessment in Chronic Pain Sleep Inventory (CPSI)
NCT00935311 (4) [back to overview]TOTPAR (Total Pain Relief)
NCT00935311 (4) [back to overview]Time to First Rescue Medication
NCT00935311 (4) [back to overview]Sum of Pain Intensity Difference (SPID) Using the Pain Intensity Visual Analog Scale (VAS)
NCT00935311 (4) [back to overview]Participants With Adverse Events (AEs)
NCT01038609 (7) [back to overview]Time to Perceptible and Meaningful Pain Relief
NCT01038609 (7) [back to overview]TOTPAR (Total Pain Relief)
NCT01038609 (7) [back to overview]Sum of Pain Intensity Difference (SPID) Using the Pain Intensity Visual Analogue Scale (VAS)
NCT01038609 (7) [back to overview]Number of Participants With Chemistry Values Meeting Potentially Clinically Significant Criteria
NCT01038609 (7) [back to overview]Number of Participants With Vital Signs Values Meeting Potentially Clinically Significant Criteria
NCT01038609 (7) [back to overview]Participant's Global Assessment of Study Drug
NCT01038609 (7) [back to overview]Participants With Adverse Events (AEs)
NCT01053637 (3) [back to overview]Statistical Difference in Pain Scores in Children During Laceration Repair Between Study and Placebo Group
NCT01053637 (3) [back to overview]Statistical Difference in State-Trait Anxiety Inventory for Children (STAIC) Scores for Children Aged 8-17 Years During Laceration Repair and VAS Pain Scale
NCT01053637 (3) [back to overview]Visual Analog Scale (VAS) Pain Score for Children > 7 Years.
NCT01081912 (1) [back to overview]Mean Change in 24-hour Pain Intensity Ratings Scale (NRS).
NCT01115569 (1) [back to overview]Mean Change in Average Daily Pain
NCT01223365 (9) [back to overview]Addiction Behavior Checklist (ABC) Total Scores During Both the Open-Label Titration and Open-Label Treatment Periods by Participant Status
NCT01223365 (9) [back to overview]Current Opioid Misuse Measure (COMM) Scores During Both the Open-Label Titration and Open-Label Treatment Periods by Participant Status
NCT01223365 (9) [back to overview]Participant Global Assessment (PGA) of the Method of Pain Control by Participant Status
NCT01223365 (9) [back to overview]Participants by Risk Category for Aberrant Drug Misuse Based on the Total Score in the Screener and Opioid Assessment for Patients With Pain - Revised (SOAPP-R)
NCT01223365 (9) [back to overview]Participants With Adverse Experiences
NCT01223365 (9) [back to overview]Participants With Clinically Significant (CS) Hearing Changes From Baseline in Pure Tone Audiometry Test Results by Patient Status
NCT01223365 (9) [back to overview]Participants With Potentially Clinically Significant (PCS) Abnormal Laboratory Values During the Open-Label Treatment Period by Participant Status
NCT01223365 (9) [back to overview]Shifts in Electrocardiogram (ECG) Findings From Baseline to Overall Study by Participant Status
NCT01223365 (9) [back to overview]Participants With Potentially Clinically Significant Abnormal Vital Signs Values by Participant Status
NCT01240863 (26) [back to overview]Participants With Adverse Events
NCT01240863 (26) [back to overview]Participants With Potentially Clinically Significant Abnormal Laboratory Values During the Double-Blind Treatment Period
NCT01240863 (26) [back to overview]Patient Assessment of Function (PAF) at Endpoint
NCT01240863 (26) [back to overview]Patient Assessment of Function (PAF) at Week 12
NCT01240863 (26) [back to overview]Patient Assessment of Function (PAF) at Week 4
NCT01240863 (26) [back to overview]Patient Assessment of Function (PAF) at Week 8
NCT01240863 (26) [back to overview]Percentage of Participants Withdrawn From the Study During the Double-Blind Treatment Period By Reason
NCT01240863 (26) [back to overview]Short-Form Health Survey (SF-36) Physical and Mental Component Summary Scores at Baseline, Week 12 and Endpoint
NCT01240863 (26) [back to overview]Subjective Opiate Withdrawal Scales (SOWS) Scores During the Double-Blind Treatment Period
NCT01240863 (26) [back to overview]Weekly Average Pain Intensity (wAPI) Scores During the Double-blind Treatment Period
NCT01240863 (26) [back to overview]Weekly Average Worst Pain Intensity (WPI) Scores During the Double-blind Treatment Period
NCT01240863 (26) [back to overview]Participants With Potentially Clinically Significant Abnormal Vital Signs Values During the Double-Blind Treatment Period
NCT01240863 (26) [back to overview]Change From Baseline to Week 12 in Weekly Average Pain Intensity (wAPI)
NCT01240863 (26) [back to overview]Kaplan-Meier Estimates for Time to Discontinuation From the Study
NCT01240863 (26) [back to overview]Addiction Behavior Checklist (ABC) Total Scores During Both the Open-Label Titration and Double-Blind Treatment Periods
NCT01240863 (26) [back to overview]Brief Pain Inventory - Short Form (BPI-SF) Pain Interference Mean Score During the Double-Blind Treatment Period
NCT01240863 (26) [back to overview]Change From Baseline to Endpoint in the Double-Blind Treatment Phase in Electrocardiogram (ECG) Parameters
NCT01240863 (26) [back to overview]Clinical Opiate Withdrawal Scales (COWS) Scores During the Double-Blind Treatment Period
NCT01240863 (26) [back to overview]Clinician Assessment of Patient Function (CAPF) at Endpoint
NCT01240863 (26) [back to overview]Clinician Assessment of Patient Function (CAPF) at Week 12
NCT01240863 (26) [back to overview]Clinician Assessment of Patient Function (CAPF) at Week 4
NCT01240863 (26) [back to overview]Clinician Assessment of Patient Function (CAPF) at Week 8
NCT01240863 (26) [back to overview]Clinician Global Impression of Severity (CGI-S) of Illness Scores During the Double-blind Treatment Period
NCT01240863 (26) [back to overview]Current Opioid Misuse Measures (COMM) Total Scores During Both the Open-Label Titration and Double-Blind Treatment Periods
NCT01240863 (26) [back to overview]Participants With a Weekly Average Pain Intensity (wAPI) Increase From Baseline Exceeding 33%
NCT01240863 (26) [back to overview]Participants With a Weekly Average Pain Intensity (wAPI) Increase From Baseline Exceeding 50%
NCT01330459 (5) [back to overview]Need for Additional Intraoperative and/or Postoperative Pain Medication
NCT01330459 (5) [back to overview]Patient Perception of Pain
NCT01330459 (5) [back to overview]Satisfaction With Pain Control
NCT01330459 (5) [back to overview]Patient Perception of Pain During Cervical Dilation
NCT01330459 (5) [back to overview]Postoperative Nausea
NCT01333722 (4) [back to overview]Time to Perceptible and Meaningful Pain Relief
NCT01333722 (4) [back to overview]SPRID (Pain Relief and Pain Intensity Difference)
NCT01333722 (4) [back to overview]Sum of Pain Intensity Difference (SPID) Using the Pain Intensity Visual Analog Scale (VAS)
NCT01333722 (4) [back to overview]TOTPAR (Total Pain Relief)
NCT01364922 (3) [back to overview]Participant's Global Assessment of Study Drug at Final Evaluation
NCT01364922 (3) [back to overview]Participant's Global Assessment of Back Pain Status at Final Evaluation
NCT01364922 (3) [back to overview]Change From Double-blind Baseline in Chronic Lower Back Pain (CLBP) Intensity by Visual Analog Scale (VAS)
NCT01400139 (9) [back to overview]Treatment Satisfaction Questionnaire (TSQ) - Part I
NCT01400139 (9) [back to overview]Medical Outcomes Study 36-item Short Form (SF-36)
NCT01400139 (9) [back to overview]Medical Outcomes Study (MOS) Sleep Scale - Revised (MOS Sleep-R)
NCT01400139 (9) [back to overview]Brief Pain Inventory Short Form (BPI-SF)
NCT01400139 (9) [back to overview]"Pain Right Now Score"
NCT01400139 (9) [back to overview]"Daily Average Pain Over the Last 24 Hours"
NCT01400139 (9) [back to overview]Treatment Satisfaction Questionnaire (TSQ) - Part II
NCT01400139 (9) [back to overview]The Number of Participants With Adverse Events as a Measure of Safety
NCT01400139 (9) [back to overview]Patient Global Impression of Change (PGIC)
NCT01402375 (4) [back to overview]Overall Satisfaction With the Pain Medicine
NCT01402375 (4) [back to overview]Difference in Pain Intensity Score Before and After Last Dose.
NCT01402375 (4) [back to overview]Time to Follow up
NCT01402375 (4) [back to overview]50% or Greater Decrease in Numerical Rating Scale (NRS) Pain Score
NCT01452529 (5) [back to overview]Patient Global Impression of Change (PGIC)
NCT01452529 (5) [back to overview]Medical Outcome Study Sleep Scale - Revised (MOS Sleep-R) - Sleep Disturbance Subscale
NCT01452529 (5) [back to overview]"Mean Pain Intensity for Average Pain Over the Last 24 Hours Score"
NCT01452529 (5) [back to overview]Responder Analysis for Subjects With a ≥ 50% Reduction in Pain Compared to Baseline
NCT01452529 (5) [back to overview]Responder Analysis for Subjects With a ≥ 30% Reduction in Pain Compared to Baseline
NCT01517295 (2) [back to overview]Peak Plasma Concentration of Hydromorphone
NCT01517295 (2) [back to overview]Peak Urine Concentration of Hydromorphone
NCT01588158 (9) [back to overview]PHQ-9
NCT01588158 (9) [back to overview]QuickDASH
NCT01588158 (9) [back to overview]Pain Patients Expect After Surgery
NCT01588158 (9) [back to overview]Satisfaction With Pain Relief
NCT01588158 (9) [back to overview]Expectation of Pain Relief
NCT01588158 (9) [back to overview]Pain Scale
NCT01588158 (9) [back to overview]Pain Scale
NCT01588158 (9) [back to overview]PSEQ
NCT01588158 (9) [back to overview]QuickDASH
NCT01592708 (5) [back to overview]Hospital Length of Stay
NCT01592708 (5) [back to overview]Post-operative Nausea
NCT01592708 (5) [back to overview]Post-discharge Vomiting
NCT01592708 (5) [back to overview]Post-discharge Nausea
NCT01592708 (5) [back to overview]Post-operative Vomiting
NCT01789970 (12) [back to overview]Kaplan-Meier Estimates for Time to Loss of Efficacy
NCT01789970 (12) [back to overview]Change From Baseline to Week 12 of the Treatment Period in Weekly Average Pain Intensity (API)
NCT01789970 (12) [back to overview]Change From Baseline to Week 12 of the Treatment Period in Weekly Average of Daily Worst Pain Intensity (WPI)
NCT01789970 (12) [back to overview]Participants With Clinically Significant Hearing Changes From Baseline to Final Assessment in Pure Tone Audiometry Test Results
NCT01789970 (12) [back to overview]Change From Baseline to Final On-Treatment Visit in Roland Morris Disability Questionnaire (RMDQ) Score
NCT01789970 (12) [back to overview]Participants With Potentially Clinically Significant Abnormal Laboratory Values During the Double-Blind Treatment Period
NCT01789970 (12) [back to overview]Participants With Potentially Clinically Significant Abnormal Vital Sign Values During the Double-Blind Treatment Period
NCT01789970 (12) [back to overview]Percentage of Participants With a 30% or Greater Increase in Weekly Average Pain Intensity (API) From Baseline to Week 12 Visit, and an Average API Score of 5 or Higher at Week 12
NCT01789970 (12) [back to overview]Subjective Opiate Withdrawal Scales (SOWS) Total Scores During the Double-Blind Treatment Period
NCT01789970 (12) [back to overview]Participants With Adverse Events During Open-Label Titration and Double-Blind Treatment Periods
NCT01789970 (12) [back to overview]Clinical Opiate Withdrawal Scales (COWS) Total Scores During the Double-Blind Treatment Period
NCT01789970 (12) [back to overview]Participants With Potentially Clinically Significant Abnormal Electrocardiogram Findings During the Double-Blind Treatment Period
NCT01859715 (2) [back to overview]Adverse Drug Events
NCT01859715 (2) [back to overview]Difference in Clinically Significant Visual Analogue Scale for Pain and Nausea Change Between CYP2D6 Users and Non-users
NCT01922739 (9) [back to overview]Change From Baseline to Weeks 2, 6, 10, 14, 18, 22 and Endpoint of the Treatment Period in Daily Worst Pain Intensity (WPI) Scores During the Previous 24 Hours for Each Visit
NCT01922739 (9) [back to overview]Participants With Clinically Significant (CS) Hearing Changes From Baseline to the Final Visit in Pure Tone Audiometry Test Results
NCT01922739 (9) [back to overview]Percentage of Participants Withdrawn From the Study For Lack of Efficacy
NCT01922739 (9) [back to overview]Change From Baseline to Weeks 2, 6, 10, 14, 18, 22 and Endpoint of the Treatment Period in Daily Average Pain Intensity (API) Scores During the Previous 24 Hours for Each Visit
NCT01922739 (9) [back to overview]Participants With Adverse Events
NCT01922739 (9) [back to overview]Participants With Potentially Clinically Significant Abnormal Laboratory Values
NCT01922739 (9) [back to overview]Participants With Potentially Clinically Significant Abnormal Vital Signs Values
NCT01922739 (9) [back to overview]Participants With Shifts From Normal to Abnormal in Physical Examination Findings
NCT01922739 (9) [back to overview]Shifts From Baseline to Endpoint (Treatment Period) in Electrocardiogram (ECG) Findings
NCT02029235 (2) [back to overview]Efficacy Comparison of Pain Intensity Level
NCT02029235 (2) [back to overview]Efficacy Comparison of Pain Relief
NCT02236130 (2) [back to overview]Total Hydrocodone Dose (mg/kg)
NCT02236130 (2) [back to overview]Patient/Family Satisfaction With Pain Management
NCT02296840 (2) [back to overview]Number of Participants With Post-operative Bleeding
NCT02296840 (2) [back to overview]Faces Pain Score
NCT02455518 (2) [back to overview]Between Group Difference in Change in Numerical Rating Scale (NRS) Pain Scores
NCT02455518 (2) [back to overview]Between Group Difference in Change in Numerical Rating Scale (NRS) Pain Scores
NCT02480114 (3) [back to overview]Change in Pain Associated With Radiation-induced Mucositis, (Pain Subscale of the Vanderbilt Head and Neck Symptom Survey (VHNSS))
NCT02480114 (3) [back to overview]Frequency and Severity of General Systemic Symptoms (Surveys Such as the Neurotoxicity Scale, Profile of Mood States, and Quality of Life Form)
NCT02480114 (3) [back to overview]Number of Participants With Grade 3 or 4 Adverse Events, (Graded Using Common Terminology Criteria for Adverse Events Criteria 4.0)
NCT02487108 (11) [back to overview]Number of Participants With a 30% Reduction in Pain Intensity Measured Using NPRS-11 Scores
NCT02487108 (11) [back to overview]Number of Participants With a 50% Reduction in Pain Intensity Measured Using NPRS-11 Scores
NCT02487108 (11) [back to overview]Pain Intensity Difference (PID) Scores
NCT02487108 (11) [back to overview]Total Rescue Medication Use (Number of Tablets Used)
NCT02487108 (11) [back to overview]SPID Scores Over the Intervals During the First 36 Hours Following the First Dose of Study Drug
NCT02487108 (11) [back to overview]Number of Participants With Adverse Events (AEs)
NCT02487108 (11) [back to overview]Summed Pain Intensity Difference (SPID) Score Calculated Over the First 48 Hours (SPID48) After the First Dose of Study Drug on an 11-Point Numerical Pain Rating Scale (NPRS-11)
NCT02487108 (11) [back to overview]Time to Onset of Meaningful Pain Relief (MPR)
NCT02487108 (11) [back to overview]Time to Onset of Perceptible Pain Relief (PPR)
NCT02487108 (11) [back to overview]Time to Peak PID
NCT02487108 (11) [back to overview]Number of Participants Taking Rescue Medication
NCT02625181 (4) [back to overview]Time to Discharge From the Postanesthesia Care Unit (PACU)
NCT02625181 (4) [back to overview]PONV Incidence: Number of Participants With Postoperative Nausea and Vomiting
NCT02625181 (4) [back to overview]Adherence to PONV Guidelines
NCT02625181 (4) [back to overview]The Number of Prophylactic Interventions for PONV
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Average Postoperative Pain Levels on Postoperative Day 1.
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Length of Hospital Stay
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Postoperative Diazepam Consumption
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Postoperative Opioid Consumption
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Antiemetic Consumption
NCT03173456 (6) [back to overview]Change in Pain From Before Medication Administered (Baseline) to Two Hour Post-baseline
NCT03173456 (6) [back to overview]Percentage of Patients Who Experience Side Effects Within One Hour of Ingestion of Study Medication
NCT03173456 (6) [back to overview]Change in Pain From Before Medication Administered (Baseline) to One-hour Post-baseline
NCT03173456 (6) [back to overview]Percentage of Patients Who Would Choose to Take the Study Medication Again if They Returned to the ED With Similar Pain
NCT03173456 (6) [back to overview]Percentage of Patients Who Received Rescue Medication
NCT03173456 (6) [back to overview]Percentage of Patients Who Experience Side Effects in Two Hours After Ingestion of Study Medication
NCT03404518 (3) [back to overview]Patient Pain Level
NCT03404518 (3) [back to overview]Narcotic Usage
NCT03404518 (3) [back to overview]Ibuprofen Usage
NCT03447353 (2) [back to overview]SDLP
NCT03447353 (2) [back to overview]Lane Departures
NCT03605914 (5) [back to overview]Pain Score as Assessed by a 100mm Visual Analogue Scale (VAS)
NCT03605914 (5) [back to overview]Pain Score as Assessed by a 100mm Visual Analogue Scale (VAS)
NCT03605914 (5) [back to overview]Number of Participants With Bleeding Complications
NCT03605914 (5) [back to overview]Pain Score as Assessed by a 100mm Visual Analogue Scale (VAS)
NCT03605914 (5) [back to overview]Pain Score as Assessed by a 100mm Visual Analogue Scale (VAS)
NCT03642873 (7) [back to overview]Number of Adverse Events(AEs) Experienced by Participants
NCT03642873 (7) [back to overview]Time to Maximum Observed Concentration (Tmax) of Guaifenesin
NCT03642873 (7) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Guaifenesin
NCT03642873 (7) [back to overview]Area Under Plasma Concentration-time Curve From Time 0 to Infinity (AUC(0-inf)) of Guaifenesin
NCT03642873 (7) [back to overview]Area Under Plasma Concentration-time Curve From Time 0 to the Last Measurable Concentration (AUC(0-t)) of Guaifenesin
NCT03642873 (7) [back to overview]Apparent Terminal Elimination Half-life (T1/2) of Guaifenesin
NCT03642873 (7) [back to overview]Apparent Terminal Elimination Rate Constant (Kel) of Guaifenesin
NCT03657810 (9) [back to overview]Percentage of Participants With OINV Over 48 Hours
NCT03657810 (9) [back to overview]Number of Doses of Study Medication Taken Over Days 3to7
NCT03657810 (9) [back to overview]Percentage of Patients With Any Nausea or Vomiting Over 48 Hours
NCT03657810 (9) [back to overview]Number of Doses of Study Medication Taken Per Day Over Days 3to7
NCT03657810 (9) [back to overview]The Sum of Pain Intensity Differences (on PI-NRS) Over 48 Hours (SPID48)
NCT03657810 (9) [back to overview]Percentage of Patients With Any Nausea Over 48 Hours
NCT03657810 (9) [back to overview]Percentage of Patients With Complete Absence of OINV (no Nausea, no Vomiting, and no Use of Anti-emetic Medication) Over 48 Hours
NCT03657810 (9) [back to overview]Percentage of Patients With Any Vomiting Over 48 Hours
NCT03657810 (9) [back to overview]Percentage of Patients With Any Post-discharge Nausea and Vomiting (PDNV)
NCT03879408 (9) [back to overview]Participant's Global Evaluation of Study Medication OR Overall Impression of Study Medication According to Participant's Global Evaluation
NCT03879408 (9) [back to overview]Time-weighted Sum of Pain Intensity Difference Score From Baseline (0 Hour) to 12 Hours (SPID 0-12)
NCT03879408 (9) [back to overview]Time-Weighted Sum of Pain Intensity Difference Score From Baseline (0 Hour) to 6 Hours (SPID 0-6)
NCT03879408 (9) [back to overview]Time-Weighted Sum of Pain Intensity Difference Score From Baseline (0 Hour) to 8 Hours (SPID 0-8)
NCT03879408 (9) [back to overview]Time-Weighted Sum of Total Pain Relief Score From Baseline (0 Hour) to 6 Hours (TOTPAR 0-6)
NCT03879408 (9) [back to overview]Time-Weighted Sum of Total Pain Relief Score From Baseline (0 Hour) to 8 Hours (TOTPAR 0-8)
NCT03879408 (9) [back to overview]Pain Intensity Difference (PID) Scores at Individual Time Points
NCT03879408 (9) [back to overview]Time-Weighted Sum of Total Pain Relief Score From Baseline (0 Hour) to 12 Hours (TOTPAR 0-12)
NCT03879408 (9) [back to overview]Pain Relief (PAR) Scores at Individual Timepoints
NCT04149964 (8) [back to overview]Highest Subjective Pain Score
NCT04149964 (8) [back to overview]Participant Use of Scheduled Acetaminophen Around the Clock
NCT04149964 (8) [back to overview]Number of Doses of Opiate (Narcotic) Pain Medication
NCT04149964 (8) [back to overview]Participant Use of Acetaminophen as Needed
NCT04149964 (8) [back to overview]Percentage of Time Participant Experienced Severe Pain
NCT04149964 (8) [back to overview]Participant Use of Additional Pain Medication
NCT04149964 (8) [back to overview]Lowest Subjective Pain Score
NCT04149964 (8) [back to overview]Chronic Use of Pain Medication
NCT04307940 (9) [back to overview]Sum of Pain Intensity Difference Over 6 Hours (SPID 0-6)
NCT04307940 (9) [back to overview]Time to First Use of Rescue Medication
NCT04307940 (9) [back to overview]Amount of Rescue Medication
NCT04307940 (9) [back to overview]Total Pain Relief Over 12 Hours (TOTPAR 0-12)
NCT04307940 (9) [back to overview]Total Pain Relief Over 6 Hours (TOTPAR 0-6)
NCT04307940 (9) [back to overview]Number of Participants Required or Did Not Reqiure Rescue Pain Medication
NCT04307940 (9) [back to overview]Duration of Pain at Least Half Gone Over 12 Hours
NCT04307940 (9) [back to overview]Duration of Pain at Least Half Gone Over 6 Hours
NCT04307940 (9) [back to overview]Sum of Pain Intensity Difference Over 12 Hours (SPID 0-12)
NCT05544734 (2) [back to overview]Change in Health-related Quality of Life Scores on Postoperative Days 3 and 6, as Measured by an Adapted APS-POQ-R Questionnaire
NCT05544734 (2) [back to overview]Change From Baseline in Pain Scores on Postoperative Day 2, as Measured by the Wong-Baker 0-to-10 Pain Scale

3 Scores on the Addiction Research Center Inventory (ARCI)

The subjective effects of the study drug were evaluated with 3 subscales of the Addiction Research Center Inventory (ARCI). The subscales studied included Morphine-Benzedrine Group which measured euphoria (0-16 with higher numbers indicating more euphoria), the Phenobarbital-Chorpromazine-Alcohol Group which measured sedation (-3 to +11 with higher scores indicating more sedation), and the Lysergic Acid Diethylmide Group which measured dysphoria and agitation (-4 to +10 with higher scores indicating more dysphoria). This inventory consists of 49 true/ false questions which survey major domains of drug effects. The ARCI was measured at six timepoints. Of interest were trough sedation, peak euphoria, and trough dysphoria. (NCT00314340)
Timeframe: 0, 60, 120, 180, 240, or 300 minutes

,,
Interventionscores on a scale (Mean)
trough sedationpeak euphoriatrough agitation
ER Morphine Tablets, 45mg7.63.34.7
Hydrocodone 30 mg Plus N-acetyl-para-aminophenol 975 mg5.44.64.2
Placebo5.23.53.6

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Pain Assessment in Advanced Dementia (PAINAD)

Pain intensity observational assessment for persons with severe dementia. Higher scores indicate more pain/discomfort. Scale range is 0-10. (NCT00385684)
Timeframe: Two (2) weeks

Interventionunits on a scale (Mean)
Experimental: A12.20
Placebo Comparator: A22.56

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Pain Assessment in Advanced Dementia (PAINAD)

Pain intensity observational assessment for persons with severe dementia. Higher scores indicate more pain/discomfort. (NCT00385684)
Timeframe: 6 weeks

Interventionunits on a scale (Mean)
Phase B: Open Label1.93

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Change From Double-blind (DB) Baseline to Final Assessment in Chronic Lower Back Pain (CLBP) Intensity by Visual Analog Scale (VAS)

The change from the DB randomization baseline (DB baseline: the last assessment before first dose in the DB period) to the final assessment in pain intensity, assessed using the CLBP Intensity VAS (0 mm = No Pain and 100 mm = Worst Pain Imaginable). Least squares means and standard errors from 2-way ANCOVA model without interaction. (NCT00761150)
Timeframe: Double-blind baseline to 4 weeks

Interventionscores on a scale (Least Squares Mean)
Double-blind ABT-7121.1
Double-blind Placebo18.0

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Change From Double-blind (DB) Baseline to Final Assessment in Chronic Pain Sleep Inventory (CPSI)

The change from the DB randomization baseline (DB baseline: the last assessment before first dose in the DB period) to the final assessment of the impact of pain on the participant's sleep. The CPSI utilizes a 100 mm VAS scale for questions of how often the participant had trouble falling asleep because of pain, needed sleeping medication, was awakened by pain during the night, and was awakened by pain in the morning (0 mm = Never and 100 mm = Always); and for rating the overall quality of sleep (0 mm = Very Poor and 100 mm = Excellent). Least squares means and standard errors from 2-way ANCOVA model without interaction. (NCT00761150)
Timeframe: Double-blind baseline to 4 weeks

,
Interventionscores on a scale (Least Squares Mean)
Trouble Falling AsleepNeeded Sleeping MedicationAwakened by Pain During the NightAwakened by Pain in the MorningQuality of Sleep
Double-blind ABT-712-4.8-1.6-0.50.30.1
Double-blind Placebo13.18.415.113.0-13.9

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Change From Double-blind (DB) Baseline to Final Assessment in Chronic Lower Back Pain (CLBP) Intensity by Visual Analog Scale (VAS)

The change from the DB randomization baseline (DB baseline: the last assessment before first dose in the DB period) to the final assessment in pain intensity, assessed using the CLBP Intensity VAS (0 mm = No Pain and 100 mm = Worst Pain Imaginable). Least squares means and standard errors from 2-way ANCOVA model without interaction. (NCT00763321)
Timeframe: Double-blind baseline to 4 weeks

Interventionscores on a scale (Least Squares Mean)
Double-blind ABT-7121.2
Double-blind Placebo23.0

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Change From Double-blind (DB) Baseline to Final Assessment in Chronic Pain Sleep Inventory (CPSI)

The change from the DB randomization baseline (DB baseline: the last assessment before first dose in the DB period) to the final assessment of the impact of pain on the participant's sleep. The CPSI utilizes a 100 mm VAS scale for questions of how often the participant had trouble falling asleep because of pain, needed sleeping medication, was awakened by pain during the night, and was awakened by pain in the morning (0 mm = Never and 100 mm = Always); and for rating the overall quality of sleep (0 mm = Very Poor and 100 mm = Excellent). Least squares means and standard errors from 2-way ANCOVA model without interaction. (NCT00763321)
Timeframe: Double-blind baseline to 4 weeks

,
Interventionscores on a scale (Least Squares Mean)
Trouble Falling AsleepNeeded Sleeping MedicationAwakened by Pain During the NightAwakened by Pain in the MorningQuality of Sleep
Double-blind ABT-712-3.7-1.2-5.0-4.5-0.4
Double-blind Placebo18.713.519.520.1-23.2

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TOTPAR (Total Pain Relief)

TOTPAR was the time-interval weighted sum of pain relief. Pain relief was assessed by participants' responses to how their pain relief was compared with the pain they had just before receiving the first dose of study drug: no relief, a little relief, some relief, a lot of relief, or complete relief. Higher mean TOTPAR scores indicate better pain relief. The TOTPAR score is a measure of the cumulative pain intensity difference during treatment and the area under the curve was estimated using the linear trapezoidal rule. (NCT00935311)
Timeframe: From time of first study drug administration to 12 hours following first study drug administration

Interventionscores on a scale (Least Squares Mean)
ABT-71218.0
Hydrocodone/Acetaminophen15.9
Placebo10.5

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Time to First Rescue Medication

The median time (minutes) from first dose of study drug to first use of analgesic rescue medication. (NCT00935311)
Timeframe: From time of first study drug administration to 12 hours following first study drug administration

Interventionminutes (Median)
ABT-712442.0
Hydrocodone/Acetaminophen205.0
Placebo123.5

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Sum of Pain Intensity Difference (SPID) Using the Pain Intensity Visual Analog Scale (VAS)

"Participants assessed pain intensity on a 100 mm visual analogue scale (VAS) with 0 meaning no pain and 100 meaning the worst pain imaginable. The SPID VAS score for 0 to 12 hours following initial study drug dose measured the cumulative pain intensity difference during treatment with higher mean SPID VAS scores indicating greater improvement from Baseline. The SPID score is a measure of the cumulative pain intensity difference during treatment and the area under the curve was estimated using the linear trapezoidal rule." (NCT00935311)
Timeframe: From time of first study drug administration to 12 hours following first study drug administration

Interventionscores on a scale (Least Squares Mean)
ABT-712268.8
Hydrocodone/Acetaminophen230.9
Placebo54.8

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Participants With Adverse Events (AEs)

An adverse event (AE) is defined as any untoward medical occurrence in a participant, which does not necessarily have a causal relationship with treatment. If an adverse event meets any of the following criteria, it is considered a serious adverse event (SAE): results in death or is life-threatening, results in admission or prolongation of hospitalization, results in congenital anomaly or persistent or significant disability/incapacity, or is an important medical event requiring medical or surgical intervention to prevent serious outcome. AEs were categorized by severity (mild, moderate, severe) and relationship to treatment (probably, possibly, probably not, not related). Please see Adverse Events section below for more details. (NCT00935311)
Timeframe: AEs were recorded from study drug administration until 30 days following discontinuation of study drug (total 30 days); SAEs were recorded from the time informed consent was obtained until 30 days following discontinuation of study drug (total 51 days).

,,
Interventionparticipants (Number)
Any AE"Any AE at least possibly drug related""Any AE at least probably not drug related""Any severe AE"Any SAEAny AE leading to discontinuation of study drugAny AE leading to deathDeath
ABT-712145910000
Hydrocodone/Acetaminophen128400000
Placebo1441020000

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Time to Perceptible and Meaningful Pain Relief

The median time (minutes) from first perceptible pain relief (onset of pain relief) and time until first meaningful pain relief. (NCT01038609)
Timeframe: From time of first study drug administration to 12 hours following first study drug administration

,,,,
Interventionminutes (Median)
Time to Onset of Perceptible Pain ReliefTime to Onset of Meaningful Pain Relief
Acetaminophen25.562.5
Hydrocodone/Acetaminophen Extended Release22.560.5
Morphine Extended Release32.0142.0
Morphine Extended Release / Acetaminophen31.0101.0
Placebo23.0220.0

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TOTPAR (Total Pain Relief)

TOTPAR was the time-interval weighted sum of pain relief. Pain relief was assessed by participants' responses to how their pain relief was compared with the pain they had just before receiving the first dose of study drug: no relief, a little relief, some relief, a lot of relief, or complete relief. Higher mean TOTPAR scores indicate better pain relief. The TOTPAR score is a measure of the cumulative pain intensity difference during treatment and the area under the curve was estimated using the linear trapezoidal rule. (NCT01038609)
Timeframe: From time of first study drug administration to 48 hours following first study drug administration

Interventionscores on a scale (Least Squares Mean)
Acetaminophen65.9
Morphine Extended Release42.7
Morphine Extended Release / Acetaminophen49.5
Hydrocodone/Acetaminophen Extended Release56.3
Placebo32.9

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Sum of Pain Intensity Difference (SPID) Using the Pain Intensity Visual Analogue Scale (VAS)

"Participants assessed pain intensity on a 100 mm visual analogue scale (VAS) with 0 meaning no pain and 100 meaning the worst pain imaginable. The SPID VAS score for 0 to 48 hours following initial study drug dose measured the cumulative pain intensity difference during treatment with higher mean SPID VAS scores indicating greater improvement from Baseline. The SPID score is a measure of the cumulative pain intensity difference during treatment and the area under the curve was estimated using the linear trapezoidal rule." (NCT01038609)
Timeframe: From time of first study drug administration to 48 hours following first study drug administration

Interventionscores on a scale (Least Squares Mean)
Acetaminophen720.5
Morphine Extended Release239.9
Morphine Extended Release / Acetaminophen614.4
Hydrocodone/Acetaminophen Extended Release450.8
Placebo-57.6

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Number of Participants With Chemistry Values Meeting Potentially Clinically Significant Criteria

Potentially clinically significant criteria: alanine aminotransferase/aspartate aminotransferase (ALT/AST) ≥3 times upper limit of normal (ULN); calcium ≤1.8 mmol/L. (NCT01038609)
Timeframe: At specified intervals from Screening through 7 days after first dose of study drug

,,,,
Interventionparticipants (Number)
ALT >= 3 * ULNAST >= 3 * ULNCalcium <= 1.8 mmol/L
Acetaminophen110
Hydrocodone/Acetaminophen Extended Release000
Morphine Extended Release220
Morphine Extended Release / Acetaminophen331
Placebo002

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Number of Participants With Vital Signs Values Meeting Potentially Clinically Significant Criteria

Potentially clinically significant criteria: Systolic blood pressure (BP) ≤90 mm Hg and ≥20 mm Hg decrease (low) or ≥180 mm Hg and ≥20 mm Hg increase (high); Diastolic BP ≤50 mm Hg and ≥15 mm Hg decrease (low) or ≥105 mm Hg and ≥15 mm Hg increase (high). Heart rate ≤50 beats per minute (bpm) and ≥15 bpm decrease (low) or ≥120 bpm and ≥15 bpm increase (high). Respiratory rate <10 respirations per minute (rpm) (low) or >24 rpm (high). (NCT01038609)
Timeframe: At specified intervals from Screening through 7 days after first dose of study drug

,,,,
Interventionparticipants (Number)
Systolic BP decreaseSystolic BP increaseDiastolic BP decreaseDiastolic BP increaseHeart rate decreaseHeart rate increaseRespiratory rate < 10 rpmRespiratory rate > 24 rpm
Acetaminophen31203100
Hydrocodone/Acetaminophen Extended Release20502100
Morphine Extended Release60501000
Morphine Extended Release / Acetaminophen80620000
Placebo51200000

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Participant's Global Assessment of Study Drug

The participant's overall impression of the study drug was obtained on a 5-point categorical scale: excellent; very good; good; fair; poor. (NCT01038609)
Timeframe: From time of first study drug administration to 48 hours following first study drug administration

,,,,
Interventionparticipants (Number)
ExcellentVery GoodGoodFairPoor
Acetaminophen91516100
Hydrocodone/Acetaminophen Extended Release7201542
Morphine Extended Release81614311
Morphine Extended Release / Acetaminophen41912113
Placebo31712154

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Participants With Adverse Events (AEs)

An adverse event (AE) is defined as any untoward medical occurrence in a participant, which does not necessarily have a causal relationship with treatment. If an adverse event meets any of the following criteria, it is considered a serious adverse event (SAE): results in death or is life-threatening, results in admission or prolongation of hospitalization, results in congenital anomaly or persistent or significant disability/incapacity, or is an important medical event requiring medical or surgical intervention to prevent serious outcome. AEs were categorized by severity (mild, moderate, severe) and relationship to treatment (probably, possibly, probably not, not related). Please see Adverse Events section below for more details. (NCT01038609)
Timeframe: AEs were recorded from study drug administration until 30 days following discontinuation of study drug (total 32 days); SAEs were recorded from the time informed consent was obtained until 30 days following discontinuation of study drug (total 51 days).

,,,,
Interventionparticipants (Number)
Any AE"Any AE at least possibly drug related""Any severe AE"Any SAEAny AE leading to discontinuation of study drugAny AE leading to deathDeath
Acetaminophen282310000
Hydrocodone/Acetaminophen Extended Release332450000
Morphine Extended Release292310000
Morphine Extended Release / Acetaminophen282320100
Placebo281910000

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Statistical Difference in Pain Scores in Children During Laceration Repair Between Study and Placebo Group

Children's Hospital of Eastern Ontario Pain Scale, for children 2-7 years. This score ranks 6 categories: Cry, Facial expression, Verbal Response, Torso movement, Touch, and Leg movement. The scale varies by each category from 0-2 or 1-2 or 1-3; such that a minimum score is 4 (no pain) and a maximum score is 13 signifying greatest pain. This results in a 10 point scale of possible results, and is rated by an objective observer; the child life specialist at the bedside during the laceration repair. If the procedure was completed, there were no scores recorded at that time point. (NCT01053637)
Timeframe: 5 minutes

Interventionunits on a scale (Median)
Hydrocodone/Acetaminophen5
Sugar Water7

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Statistical Difference in State-Trait Anxiety Inventory for Children (STAIC) Scores for Children Aged 8-17 Years During Laceration Repair and VAS Pain Scale

"State-Trait Anxiety Inventory for Children - 20 questions with 3 answer options for each question.~Scores range from 20 to 60 for state and 20 to 60 for trait with 60 being the higher (more or worse) anxiety on self-assessment. The VAS pain Scale from 0-10 was included in this older population as well." (NCT01053637)
Timeframe: 1 hour approximately (survey was given pre and post procedure so from 15 minutes to 1 hour after initial survey (or 5 minutes to 45 minutes after the procedure).

,
Interventionunits on a scale (Median)
State Anxiety Pre-TestState Anxiety Post-TestVAS Pain Score at 5 minutes
Hydrocodone/Acetaminophen34.526.00.1
Sugar Water38.029.00.5

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Visual Analog Scale (VAS) Pain Score for Children > 7 Years.

"Visual Analog Scale from 0-10 as marked on a 10 cm line. 0 no pain, 10 worst pain.~A child >7 group marks their pain on the line, and a mm measurement is made. Power based on a change in the Visual Analog Scale (VAS) for children > 7 years. A change in pain score of 10 mm (95% Confidence Interval 7-12 mm) was considered to be clinically significant based upon a previous study." (NCT01053637)
Timeframe: 30 minutes

,
Interventionscore on a scale (Median)
Baseline5 minutes10 minutes15 minutesProcedure Finish
Hydrocodone/Acetaminophen0.50.10.00.00.0
Sugar Water0.850.50.00.00.0

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Mean Change in 24-hour Pain Intensity Ratings Scale (NRS).

Change in average pain intensity as measured daily by Numeric Rating Scale (NRS) for Pain (0-10; where 0 = no pain, 10 = worst pain imaginable) comparing HC-ER with Placebo. Lower number equals better outcome. (NCT01081912)
Timeframe: Baseline to Day 85 (Treatment Phase)

Interventionunits on a scale (Mean)
Hydrocodone Bitartrate Capsules0.48
Placebo Comparator0.96

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Mean Change in Average Daily Pain

Numeric Rating Scale (NRS) for Pain (0-10; where 0 = no pain, 10 = worst pain imaginable) recorded up to 54 weeks, starting at screening through end of study. Lower number equals better outcome. (NCT01115569)
Timeframe: 1 year

Interventionunits on a scale (Mean)
Open-label Hydrocodone Bitartrate Extended Release Capsules0.921

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Addiction Behavior Checklist (ABC) Total Scores During Both the Open-Label Titration and Open-Label Treatment Periods by Participant Status

The ABC was a clinician rated scale that consisted of a brief (21 item) questionnaire designed to track behaviors characteristic of addiction related to prescription opioid medications in chronic pain populations. Items were focused on observable behaviors noted both during and between clinic visits. Each affirmative response was counted as 1 point, and points were added to calculate the total score. All but 1 of the 21 items (the provider's impression) was used in calculating the total score, consequently resulting in scores ranging from 0 to 20 (0=no addiction-related behaviors seen and higher scores indicating an increasing number of addition-related behaviors seen). Participants with a total score of 3 or greater were classified as exhibiting inappropriate opioid use during the study. (NCT01223365)
Timeframe: Baseline for new participants was Day 1 of open-label titration; rollover participants baseline was in study 3079. End of Open-label Titration: Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 40, 44, 48, 52 and last visit up to week 52

,,,
Interventionunits on a scale (Mean)
BaselineEnd of TitrationWeek 4Week 8Week 12Week 16Week 20Week 24Week 28Week 32Week 36Week 40Week 44Week 48Week 52Endpoint
New Opioid Experienced Subpopulation0.10.00.20.20.20.10.10.10.10.00.10.10.10.00.10.2
New Opioid Naïve Subpopulation0.10.10.20.10.20.10.20.10.10.20.10.10.10.00.10.2
Rollover Subpopulation0.20.10.10.10.10.20.20.10.10.10.10.10.10.10.10.2
Total Hydrocodone ER0.20.10.10.10.10.10.10.10.10.10.10.10.10.10.10.2

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Current Opioid Misuse Measure (COMM) Scores During Both the Open-Label Titration and Open-Label Treatment Periods by Participant Status

The COMM was a clinician-rated scale developed as a brief self-report measure of current aberrant drug-related behavior for patients with chronic pain who were already on long-term opioid therapy. A total score was calculated as the sum of the 17 questions. The total score ranged from 0 to 68. A score of 0 indicates no aberrant drug-related behaviors were seen. Patients with a total score of 9 or greater were classified as exhibiting aberrant drug-related behavior. (NCT01223365)
Timeframe: Baseline for new participants was Day 1 of open-label titration; rollover participants baseline was in study 3079. End of Open-label Titration Period. Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 40, 44, 48, 52 and last visit up to week 52

,,,
Interventionunits on a scale (Mean)
BaselineEnd of TitrationWeek 4Week 8Week 12Week 16Week 20Week 24Week 28Week 32Week 36Week 40Week 44Week 48Week 52Endpoint
New Opioid Experienced Subpopulation5.44.03.73.94.24.03.53.93.32.83.23.02.73.03.04.2
New Opioid Naïve Subpopulation5.13.83.22.43.12.42.62.62.12.32.92.82.32.42.43.5
Rollover Subpopulation3.72.12.32.42.42.32.12.42.32.02.32.12.22.32.32.5
Total Hydrocodone ER4.43.02.92.83.12.92.62.92.62.32.72.52.42.52.53.2

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Participant Global Assessment (PGA) of the Method of Pain Control by Participant Status

The PGA of the method of pain control consisted of a asking patients a single question to assess their method of pain control during the previous 24 hours as either poor, fair, good, or excellent (Rothman et al 2009). (NCT01223365)
Timeframe: Baseline for new participants was Day 1, i.e. the first day of open-label titration. Baseline for rollover participants was the baseline in study 3079. Week 4 (end of titration, start of open-label treatment), Week 52, last visit up to Week 52

,,,
InterventionParticipants (Count of Participants)
Baseline: PoorBaseline: FairBaseline: GoodBaseline: ExcellentWeek 4: PoorWeek 4: FairWeek 4: GoodWeek 4: ExcellentWeek 52: PoorWeek 52: FairWeek 52: GoodWeek 52: ExcellentEndpoint: PoorEndpoint: Fair (n=42, 92, 157, 291)Endpoint: GoodEndpoint: Excellent
New Opioid Experienced Subpopulation105518311754152936106215213
New Opioid Naïve Subpopulation18141125201303178372111
Rollover Subpopulation4971293227942721862218279329
Total Hydrocodone ER771404875491685543011539175516653

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Participants by Risk Category for Aberrant Drug Misuse Based on the Total Score in the Screener and Opioid Assessment for Patients With Pain - Revised (SOAPP-R)

"SOAPP-R is a clinician-rated scale used to assess each patient's risk of developing aberrant drug use behaviors while on long term opioid therapy. SOAPP-R consists of 24 questions that address 8 concepts: substance abuse history, medication related behaviors, antisocial behaviors/history, psychosocial problems, psychiatric history, physician patient relationship factors, emotional attachment to pain medications, and personal care and lifestyle issues (Butler et al 2008). Each question is answered using a 5 point Likert-like scale, with 0=never, 1=seldom, 2=sometimes, 3=often, and 4=very often for a total range of 0-96. The higher the overall score, the greater the probability the patient is at risk for displaying aberrant behaviors consistent with drug use.~An overall score of 18 or higher is considered positive for predicting aberrant drug related behavior, therefore the reported risk categories are~<18 and~<=18. Results indicate timeframe followed by risk cat" (NCT01223365)
Timeframe: End of Open-label Titration Period. Weeks 4 and 24 of the Open-label Treatment Period

,,,
InterventionParticipants (Count of Participants)
End of Open-Label Titration: >=18End of Open-Label Titration: <18Week 4: >=18Week 4: <18Week 24: >=18Week 24: <18
New Opioid Experienced Subpopulation00127300
New Opioid Naïve Subpopulation0013900
Rollover Subpopulation02313401
Total Hydrocodone ER021624601

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Participants With Adverse Experiences

An adverse event (AE) was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes. (NCT01223365)
Timeframe: Day 1 of open-label titration period - Week 52 of the open-label treatment period

,,,
InterventionParticipants (Count of Participants)
Any adverse eventTreatment-related adverse eventDeathSerious adverse eventWithdrawals from treatment due to adverse event
New Opioid Experienced Subpopulation986911624
New Opioid Naïve Subpopulation51410418
Rollover Subpopulation135631720
Total Hydrocodone ER28417322762

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Participants With Clinically Significant (CS) Hearing Changes From Baseline in Pure Tone Audiometry Test Results by Patient Status

"Pure tone audiometry was performed by trained personnel. During the test, the patient wore headphones and was seated in a quiet room; trained personnel manipulated the audiometry equipment to test the patient's hearing. For serial audiograms, the criteria for a clinically significant (CS) hearing change were based on the guidance from the American Speech-Language Hearing Association (ASHA) 1994 (Konrad-Martin et al 2005). These criteria included the following: greater than 20 decibels (dB) pure tone threshold shift at 1 frequency; greater than 10 dB shift at 2 consecutive test frequencies; or threshold response shifting to no response at 3 consecutive test frequencies." (NCT01223365)
Timeframe: Baseline for new participants was between Day -7 and -14 (study 3080 screening visit); baseline for rollover participants was the baseline test in study 3079. During study covers both open-label titration and 52-week treatment periods

,,,
InterventionParticipants (Count of Participants)
>=1 CS value during study>=1 CS value during open-label titration period>=1 CS value at endpoint
New Opioid Experienced Subpopulation30148
New Opioid Naïve Subpopulation1042
Rollover Subpopulation36413
Total Hydrocodone ER762223

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Participants With Potentially Clinically Significant (PCS) Abnormal Laboratory Values During the Open-Label Treatment Period by Participant Status

"Data represents participants with PCS abnormal serum chemistry, hematology and urinalysis values.~Significance criteria:~alanine aminotransferase (ALT): >=3 times the upper limit of normal (ULN). Normal range is 6-43 U/L~aspartate aminotransferase (AST): >=3 times ULN. Normal range is 9-36 U/L~blood urea nitrogen (BUN): >=10.71 mmol/L~creatinine: >=177 μmol/L~uric acid: M>=625, F>=506 μmol/L~white blood cell count: <=3.0*10^9/L~hemoglobin: M<=115, F<=95 g/dL~hematocrit: M<0.37, F<0.32 L/L~urine blood (hemoglobin): >=2 unit increase from baseline~urine glucose: >=2 unit increase from baseline" (NCT01223365)
Timeframe: Day 1 - Week 52 of the open-label treatment period

,,,
InterventionParticipants (Count of Participants)
ALTASTBUNCreatinineUric acidWhite blood cell countHemoglobinHematocritUrine bloodUrine glucose
New Opioid Experienced Subpopulation2231413642
New Opioid Naïve Subpopulation0000101212
Rollover Subpopulation1051303625
Total Hydrocodone ER32828171479

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Shifts in Electrocardiogram (ECG) Findings From Baseline to Overall Study by Participant Status

"A 12-lead ECG was conducted at screening, week 24, and week 52 or at the last postbaseline observation. For rollover participants, the ECG performed at the final visit of study 3079 served as the 1st ECG in study 3080. A qualified physician was responsible for interpreting the ECG. Any ECG finding that was judged by the investigator as a clinically meaningful change (worsening) compared with baseline was considered an adverse event.~For overall results, the worst postbaseline finding for the participant was summarized.~Results below are formatted as Baseline ECG result - Overall ECG result." (NCT01223365)
Timeframe: Baseline for new participants was between Day -7 and -14 (the study 3080 screening visit); baseline for rollover participants was the last ECG in study 3079. During study ECGs were performed on weeks 24 and 52 of the open-label treatment period

,,,
InterventionParticipants (Count of Participants)
Normal baseline - Normal overallNormal baseline - Abnormal overallAbnormal baseline - Normal overallAbnormal baseline - Abnormal overall
New Opioid Experienced Subpopulation3317732
New Opioid Naïve Subpopulation188015
Rollover Subpopulation43351854
Total Hydrocodone ER946025101

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Participants With Potentially Clinically Significant Abnormal Vital Signs Values by Participant Status

"Data represents participants with potentially clinically significant (PCS) vital sign values.~Significance criteria~Pulse - high: >=120 and increase of >= 15 beats/minute from baseline~Pulse - low: <=50 and decrease of >=15 beats/minute~Systolic blood pressure - high: >=180 and increase >=20 mmHg~Systolic blood pressure - low: <=90 and decrease >=20 mmHg~Diastolic blood pressure - high: >=105 and increase of >=15 mmHg~Diastolic blood pressure - low: <=50 and decrease of >=15 mmHg" (NCT01223365)
Timeframe: Day 1 of open-label titration period - Week 52 of the open-label treatment period

,,,
InterventionParticipants (Count of Participants)
Pulse - highPulse - lowSystolic blood pressure - highSystolic blood pressure - lowDiastolic blood pressure - highDiastolic blood pressure - low
New Opioid Experienced Subpopulation200402
New Opioid Naïve Subpopulation011031
Rollover Subpopulation052733
Total Hydrocodone ER2631166

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Participants With Adverse Events

An adverse event (AE) was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an inability to carry out usual activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes. (NCT01240863)
Timeframe: Day 1 up to Day 52 in Open-Label Titration; Day 1 up to Day 128 in Double-Blind Treatment period

,,,
InterventionParticipants (Count of Participants)
Any adverse eventSevere adverse eventTreatment-related adverse eventDeathsSerious adverse eventWithdrawals from treatment due to AE
Hydrocodone ER (Double-blind Treatment Period)93948039
Open-Label Titration: Opioid Experienced1168720215
Open-Label Titration: Opioid Naive1119900033
Placebo (Double-blind Treatment Period)91728033

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Participants With Potentially Clinically Significant Abnormal Laboratory Values During the Double-Blind Treatment Period

"Data represents participants with potentially clinically significant abnormal serum chemistry, hematology and urinalysis values.~Significance criteria:~Blood urea nitrogen: >=10.71 mmol/L~Uric acid: M>=625, F>=506 μmol/L~Hemoglobin: M<=115, F<=95 g/dL~Hematocrit: M<0.37, F<0.32 %~Urinalysis: blood (hemoglobin) and total protein: >=2 unit increase from baseline" (NCT01240863)
Timeframe: Day 1 up to Day 128 in Double-Blind Treatment period

,
InterventionParticipants (Count of Participants)
Blood urea nitrogenUric acidHemoglobinHematocritUrine bloodUrine total protein
Hydrocodone ER (Double-blind Treatment Period)453530
Placebo (Double-blind Treatment Period)121121

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Patient Assessment of Function (PAF) at Endpoint

"The PAF is a self-administered questionnaire used to measure patients' assessment of their own ability to function in normal activities. Answers to the 7 questions were rated on a 7 point scale in which 1 was very much worsened and 7 were very much improved since the start of the study.~The seven functional areas are:~ability to go to work~ability to perform at work (includes both work outside the home and housework)~ability to walk~ability to exercise~ability to participate in social events~ability to have sex~ability to enjoy life~Endpoint values are the last observed postbaseline data." (NCT01240863)
Timeframe: Endpoint of the Double-blind Treatment Period (up to week 12)

,
InterventionParticipants (Count of Participants)
Go to Work: Very much worsenedGo to Work: Much worsenedGo to Work: Slightly worsenedGo to Work: UnchangedGo to Work: Slightly improvedGo to Work: Much improvedGo to Work: Very much improvedPerform Work: Very much worsenedPerform Work: Much worsenedPerform Work: Slightly worsenedPerform Work: UnchangedPerform Work: Slightly improvedPerform Work: Much improvedPerform Work: Very much improvedWalk: Very much worsenedWalk: Much worsenedWalk: Slightly worsenedWalk: UnchangedWalk: Slightly improvedWalk: Much improvedWalk: Very much improvedExercise: Very much worsenedExercise: Much worsenedExercise: Slightly worsenedExercise: UnchangedExercise: Slightly improvedExercise: Much improvedExercise: Very much improvedSocial events: Very much worsenedSocial events: Much worsenedSocial events: Slightly worsenedSocial events: UnchangedSocial events: Slightly improvedSocial events: Much improvedSocial events: Very much improvedSex: Very much worsenedSex: Much worsenedSex: Slightly worsenedSex: UnchangedSex: Slightly improvedSex: Much improvedSex: Very much improvedEnjoy life: Very much worsenedEnjoy life: Much worsenedEnjoy life: Slightly worsenedEnjoy life: UnchangedEnjoy life: Slightly improvedEnjoy life: Much improvedEnjoy life: Very much improved
Hydrocodone ER (Double-blind Treatment Period)12639262662512343934714103640321035951302491412513025100612761318407945253511
Placebo (Double-blind Treatment Period)0410471121623174331278171347282874613523019713106723216361088128423105927219

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Patient Assessment of Function (PAF) at Week 12

"The PAF is a self-administered questionnaire used to measure patients' assessment of their own ability to function in normal activities. Answers to the 7 questions were rated on a 7 point scale in which 1 was very much worsened and 7 were very much improved since the start of the study.~The seven functional areas are:~ability to go to work~ability to perform at work (includes both work outside the home and housework)~ability to walk~ability to exercise~ability to participate in social events~ability to have sex~ability to enjoy life" (NCT01240863)
Timeframe: Week 12 of the Double-blind Treatment Period

,
InterventionParticipants (Count of Participants)
Go to Work: Very much worsenedGo to Work: Much worsenedGo to Work: Slightly worsenedGo to Work: UnchangedGo to Work: Slightly improvedGo to Work: Much improvedGo to Work: Very much improvedPerform Work: Very much worsenedPerform Work: Much worsenedPerform Work: Slightly worsenedPerform Work: UnchangedPerform Work: Slightly improvedPerform Work: Much improvedPerform Work: Very much improvedWalk: Very much worsenedWalk: Much worsenedWalk: Slightly worsenedWalk: UnchangedWalk: Slightly improvedWalk: Much improvedWalk: Very much improvedExercise: Very much worsenedExercise: Much worsenedExercise: Slightly worsenedExercise: UnchangedExercise: Slightly improvedExercise: Much improvedExercise: Very much improvedSocial events: Very much worsenedSocial events: Much worsenedSocial events: Slightly worsenedSocial events: UnchangedSocial events: Slightly improvedSocial events: Much improvedSocial events: Very much improvedSex: Very much worsenedSex: Much worsenedSex: Slightly worsenedSex: UnchangedSex: Slightly improvedSex: Much improvedSex: Very much improvedEnjoy life: Very much worsenedEnjoy life: Much worsenedEnjoy life: Slightly worsenedEnjoy life: UnchangedEnjoy life: Slightly improvedEnjoy life: Much improvedEnjoy life: Very much improved
Hydrocodone ER (Double-blind Treatment Period)1131918172135202625412520272371343026147026292516704746111220442718248
Placebo (Double-blind Treatment Period)025277136101026262171210292023622934231561074516175227647631073621188

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Patient Assessment of Function (PAF) at Week 4

"The PAF is a self-administered questionnaire used to measure patients' assessment of their own ability to function in normal activities. Answers to the 7 questions were rated on a 7 point scale in which 1 was very much worsened and 7 were very much improved since the start of the study.~The seven functional areas are:~ability to go to work~ability to perform at work (includes both work outside the home and housework)~ability to walk~ability to exercise~ability to participate in social events~ability to have sex~ability to enjoy life" (NCT01240863)
Timeframe: Week 4 of the Double-blind Treatment Period

,
InterventionParticipants (Count of Participants)
Go to Work: Very much worsenedGo to Work: Much worsenedGo to Work: Slightly worsenedGo to Work: UnchangedGo to Work: Slightly improvedGo to Work: Much improvedGo to Work: Very much improvedPerform Work: Very much worsenedPerform Work: Much worsenedPerform Work: Slightly worsenedPerform Work: UnchangedPerform Work: Slightly improvedPerform Work: Much improvedPerform Work: Very much improvedWalk: Very much worsenedWalk: Much worsenedWalk: Slightly worsenedWalk: UnchangedWalk: Slightly improvedWalk: Much improvedWalk: Very much improvedExercise: Very much worsenedExercise: Much worsenedExercise: Slightly worsenedExercise: UnchangedExercise: Slightly improvedExercise: Much improvedExercise: Very much improvedSocial events: Very much worsenedSocial events: Much worsenedSocial events: Slightly worsenedSocial events: UnchangedSocial events: Slightly improvedSocial events: Much improvedSocial events: Very much improvedSex: Very much worsenedSex: Much worsenedSex: Slightly worsenedSex: UnchangedSex: Slightly improvedSex: Much improvedSex: Very much improvedEnjoy life: Very much worsenedEnjoy life: Much worsenedEnjoy life: Slightly worsenedEnjoy life: UnchangedEnjoy life: Slightly improvedEnjoy life: Much improvedEnjoy life: Very much improved
Hydrocodone ER (Double-blind Treatment Period)12125171981402038319015243430102223139208013372822132246471570243427289
Placebo (Double-blind Treatment Period)02834131260311333222700737322761464630184108522614815866185410841282011

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Patient Assessment of Function (PAF) at Week 8

"The PAF is a self-administered questionnaire used to measure patients' assessment of their own ability to function in normal activities. Answers to the 7 questions were rated on a 7 point scale in which 1 was very much worsened and 7 were very much improved since the start of the study.~The seven functional areas are:~ability to go to work~ability to perform at work (includes both work outside the home and housework)~ability to walk~ability to exercise~ability to participate in social events~ability to have sex~ability to enjoy life" (NCT01240863)
Timeframe: Week 8 of the Double-blind Treatment Period

,
InterventionParticipants (Count of Participants)
Go to Work: Very much worsenedGo to Work: Much worsenedGo to Work: Slightly worsenedGo to Work: UnchangedGo to Work: Slightly improvedGo to Work: Much improvedGo to Work: Very much improvedPerform Work: Very much worsenedPerform Work: Much worsenedPerform Work: Slightly worsenedPerform Work: UnchangedPerform Work: Slightly improvedPerform Work: Much improvedPerform Work: Very much improvedWalk: Very much worsenedWalk: Much worsenedWalk: Slightly worsenedWalk: UnchangedWalk: Slightly improvedWalk: Much improvedWalk: Very much improvedExercise: Very much worsenedExercise: Much worsenedExercise: Slightly worsenedExercise: UnchangedExercise: Slightly improvedExercise: Much improvedExercise: Very much improvedSocial events: Very much worsenedSocial events: Much worsenedSocial events: Slightly worsenedSocial events: UnchangedSocial events: Slightly improvedSocial events: Much improvedSocial events: Very much improvedSex: Very much worsenedSex: Much worsenedSex: Slightly worsenedSex: UnchangedSex: Slightly improvedSex: Much improvedSex: Very much improvedEnjoy life: Very much worsenedEnjoy life: Much worsenedEnjoy life: Slightly worsenedEnjoy life: UnchangedEnjoy life: Slightly improvedEnjoy life: Much improvedEnjoy life: Very much improved
Hydrocodone ER (Double-blind Treatment Period)2032991832062225335124222727102182828215022421919910952121430133425237
Placebo (Double-blind Treatment Period)00731101431373822179027402317903842231661134818189013749441164124233

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Percentage of Participants Withdrawn From the Study During the Double-Blind Treatment Period By Reason

Percentage of participants who withdrew from the study during the double-blind treatment period. Withdrawal is due to any cause, including lack of efficacy. (NCT01240863)
Timeframe: Day 1 to Week 12 of the double-blind treatment period

,
Interventionpercentage of participants (Number)
Total withdrawn from study periodLack of efficacyAdverse eventConsent withdrawnLost to follow-upProtocol violationNoncompliance to study proceduresNoncompliance to study drug adminOther
Hydrocodone ER (Double-blind Treatment Period)36373010183
Placebo (Double-blind Treatment Period)31123206161

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Short-Form Health Survey (SF-36) Physical and Mental Component Summary Scores at Baseline, Week 12 and Endpoint

SF-36 is a generic 36-item questionnaire measuring health-related quality of life (HRQL) covering 2 summary measures: physical component summary (PCS) and mental component summary (MCS). The SF-36 consists of 8 subscales. The PCS is represented by 4 subscales: physical function, role limitations due to physical problems, pain, and general health perception. The MCS is represented by 4 subscales: vitality, social function, role limitations due to emotional problems, and mental health. Participants self-report on items in a subscale that have between 2-6 choices per item using Likert-type responses (e.g. none of the time, some of the time, etc.). PCS and MCS scores are constructed as a T-score with a mean of 50 and standard deviation of 10 and no minimum or maximum score; higher scores indicate better health status. (NCT01240863)
Timeframe: Baseline (end of Open-Label Titration Period), Week 12 and Endpoint (last visit up to week 12) of the Double-blind treatment period

,
Interventionunits on a scale (Mean)
PCS - BaselinePCS - Week 12PCS - EndpointMCS - BaselineMCS - Week 12MCS - Endpoint
Hydrocodone ER (Double-blind Treatment Period)35.837.636.952.853.652.6
Placebo (Double-blind Treatment Period)35.536.935.952.854.754.0

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Subjective Opiate Withdrawal Scales (SOWS) Scores During the Double-Blind Treatment Period

The results of the SOWS were collected in the e-diary daily during the first 4 weeks of the double blind treatment period and then during clinic visits at weeks 8 and 12 or early termination. The SOWS was a self administered questionnaire used to measure a participant's signs and symptoms of withdrawal from opiates. The scale contained 16 symptoms (eg, my nose is running; I feel restless), the participant rated the intensity on a scale of 0 (not at all) to 4 (extremely) for a total score of 0-64. The daily total score for the first 4 weeks was the largest score observed during the time period preceding that visit. For example, the week 1 score for each participant was the largest total score on any day between baseline and the night before the week 1 visit; the week 4 score for each participant was the largest score observed between the week 2 visit and the night before the week 4 visit. (NCT01240863)
Timeframe: Weeks 1, 2, 4, 8, 12 and Endpoint (last visit up to Week 12) of the Double-blind treatment period

,
Interventionunits on a scale (Mean)
Week 1Week 2Week 4Week 8Week 12Endpoint
Hydrocodone ER (Double-blind Treatment Period)6.14.45.33.23.64.3
Placebo (Double-blind Treatment Period)5.95.45.53.43.23.6

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Weekly Average Pain Intensity (wAPI) Scores During the Double-blind Treatment Period

"The API over the previous 24 hours, based on the 11-point Numerical Rating Scale (NRS 11), was collected daily by e-diary. The wAPI scores from the previous 7 days were calculated for each study visit and averaged. The baseline wAPI score was calculated by averaging API scores from 3 to 12 days when the successful dose of hydrocodone extended release was confirmed at the end of the open label titration period, before patients were randomly assigned study drug.~The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain on a Likert-type scale in which 0 is no pain and 10 is the worst pain imaginable." (NCT01240863)
Timeframe: Baseline (end of Open-Label Titration Period), Weeks 1, 2, 4, 8, and 12 of the Double-blind treatment period

,
Interventionunits on a scale (Mean)
BaselineWeek 1Week 2Week 4Week 8Week 12
Hydrocodone ER (Double-blind Treatment Period)3.793.673.583.483.163.30
Placebo (Double-blind Treatment Period)3.753.733.893.783.683.61

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Weekly Average Worst Pain Intensity (WPI) Scores During the Double-blind Treatment Period

"The WPI was recorded by the patient in the e-diary daily throughout the study, based on the Numeric Rating Scale (NRS-11). Participants were asked to select the number that best described their WPI over the previous 24 hours. Values were averaged for each week.~The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain on a Likert-type scale in which 0 is no pain and 10 is the worst pain imaginable." (NCT01240863)
Timeframe: Baseline (end of Open-Label Titration Period), Weeks 1, 2, 4, 8, and 12 of the Double-blind treatment period

,
Interventionunits on a scale (Mean)
BaselineWeek 1Week 2Week 4Week 8Week 12
Hydrocodone ER (Double-blind Treatment Period)4.854.794.654.554.184.22
Placebo (Double-blind Treatment Period)4.754.795.024.774.574.57

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Participants With Potentially Clinically Significant Abnormal Vital Signs Values During the Double-Blind Treatment Period

"Data represents participants with potentially clinically significant (PCS) vital sign values.~Significance criteria~Pulse - high: >=120 and increase of >= 15 beats/minute from baseline~Pulse - low: <=50 and decrease of >=15 beats/minute~Systolic blood pressure - high: >=180 and increase >=20 mmHg~Systolic blood pressure - low: <=90 and decrease >=20 mmHg~Diastolic blood pressure - high: >=105 and increase of >=15 mmHg~Diastolic blood pressure - low: <=50 and decrease of >=15 mmHg" (NCT01240863)
Timeframe: Day 1 up to Day 128 in Double-Blind Treatment period

,
InterventionParticipants (Count of Participants)
At least one clinically significant vital signPulse - highPulse - lowSystolic blood pressure - highSystolic blood pressure - lowDiastolic blood pressure - highDiastolic blood pressure - low
Hydrocodone ER (Double-blind Treatment Period)5000321
Placebo (Double-blind Treatment Period)2001100

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Change From Baseline to Week 12 in Weekly Average Pain Intensity (wAPI)

"The primary efficacy variable was the change from baseline to week 12 in the wAPI. The API over the previous 24 hours, based on the 11-point Numerical Rating Scale (NRS 11), was collected daily by e-diary. The Week 12 wAPI scores from the previous 7 days were calculated for each study visit and averaged. The baseline wAPI score was calculated by averaging API scores from 3 to 12 days when the successful dose of hydrocodone extended release was confirmed at the end of the open label titration period, before patients were randomly assigned study drug. In the case of missing week-12 data due to early withdrawal from the study, or excessive rescue medication usage, the wAPI for week 12 was imputed.~The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain on a Likert-type scale in which 0 is no pain and 10 is the worst pain imaginable. Negative change from baseline values indicate lessening in pain intensity." (NCT01240863)
Timeframe: Baseline (end of Open-Label Titration Period), Week 12 of Double-blind Treatment Period

Interventionunits on a scale (Least Squares Mean)
Placebo (Double-blind Treatment Period)0.14
Hydrocodone ER (Double-blind Treatment Period)-0.22

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Kaplan-Meier Estimates for Time to Discontinuation From the Study

Kaplan-Meier estimates for time to discontinuation from the study (due to any cause) was calculated as the number of days since participants were randomly assigned to study drug treatment, ie, the difference between the date the participants withdrew and the date participants were randomly assigned to study drug treatment. The censoring flag was set to 0 if a participant was withdrawn from study drug treatment early and was set to 1 if the participant completed the 12 week treatment period. Censoring time was calculated as the difference of treatment completion date (ie, date of last study drug administration) and date participant was randomly assigned to study drug treatment. (NCT01240863)
Timeframe: Day 1 to Week 12 of the double-blind treatment period

Interventiondays (Median)
Placebo (Double-blind Treatment Period)99
Hydrocodone ER (Double-blind Treatment Period)NA

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Addiction Behavior Checklist (ABC) Total Scores During Both the Open-Label Titration and Double-Blind Treatment Periods

"The ABC was a clinician rated scale that consisted of a brief (20 item) questionnaire designed to track behaviors characteristic of addiction related to prescription opioid medications in chronic pain populations. Items were focused on observable behaviors noted both during and between clinic visits. Each affirmative response was counted as one point, and points were added to calculate the total score, consequently resulting in scores ranging from 0 to 20 (0=no addiction-related behaviors seen and higher scores indicating an increasing number of addition-related behaviors seen).~The ABC was to be performed at visits 2 and 7 (beginning and end of Open-label Titration period) and weeks 1, 4, 8, and 12 (Double-blind Treatment period) or early termination." (NCT01240863)
Timeframe: Baseline for Open-Label Titration period, Baseline for Double-Blind Treatment period (which is also the end of the Open-Label Titration period), Weeks 1, 4, 8, 12, and Endpoint (last visit up to Week 12) of the Double-blind Treatment period

,
Interventionunits on a scale (Mean)
Baseline Open-Label TitrationBaseline Double-blind TreatmentWeek 1Week 4Week 8Week 12Endpoint
Hydrocodone ER (Double-blind Treatment Period)0.30.20.20.30.20.10.3
Placebo (Double-blind Treatment Period)0.30.10.20.10.10.10.3

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Brief Pain Inventory - Short Form (BPI-SF) Pain Interference Mean Score During the Double-Blind Treatment Period

For pain interference, the BPI-SF used numerical scales to measure how much pain had interfered with 7 daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep in the past 24 hours. The scale used an 11 point Likert scale; range: 0 [does not interfere] to 10 [completely interferes]. BPI pain interference was typically scored as the mean of the 7 interference items. This mean could be used if at least 4 of 7 items had been completed on a given administration. (NCT01240863)
Timeframe: Baseline (end of Open-Label Titration Period), Weeks 1, 2, 4, 8, 12 and Endpoint (last visit up to week 12) of the Double-blind treatment period

,
Interventionunits on a scale (Mean)
BaselineWeek 1Week 2Week 4Week 8Week 12Endpoint
Hydrocodone ER (Double-blind Treatment Period)2.83.12.72.82.93.33.3
Placebo (Double-blind Treatment Period)2.93.02.92.92.93.03.5

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Change From Baseline to Endpoint in the Double-Blind Treatment Phase in Electrocardiogram (ECG) Parameters

A 12-lead ECG was conducted at baseline and the last visit during the double-blind treatment period (week 12, or early termination). (NCT01240863)
Timeframe: Baseline (end of Open-Label Titration Period), Endpoint (last visit up to Week 12) of the Double-blind treatment period

,
Interventionmsec (Mean)
PR intervalQRS intervalQT intervalQTc interval (Bazett)QTc interval (Fridericia)
Hydrocodone ER (Double-blind Treatment Period)-2.40.62.24.22.9
Placebo (Double-blind Treatment Period)-1.8-0.1-3.1-1.0-2.5

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Clinical Opiate Withdrawal Scales (COWS) Scores During the Double-Blind Treatment Period

"The COWS was a clinician rated scale used to measure a participant's signs and symptoms of withdrawal from opiates, with ratings based only on apparent relationship to withdrawal. The COWS was performed at day 0 and weeks 1, 2, 4, 8, and 12 (double blind treatment period) or early termination. The scale contained 11 signs/symptoms whose intensity the clinician rated on a scale of 0 to 4 or 5.~A total score was calculated as the sum of the responses to the 11 signs/symptoms for a total range of 0-48. Withdrawal severity was classified, based on the total score, as follows:~0 to 4=normal~5 to 12=mild~13 to 24=moderate~25 to 36=moderately severe~>36=severe" (NCT01240863)
Timeframe: Baseline (end of Open-Label Titration Period), Weeks 1, 2, 4, 8, 12 and Endpoint (last visit up to Week 12) of the Double-blind treatment period

,
Interventionunits on a scale (Mean)
BaselineWeek 1Week 2Week 4Week 8Week 12Endpoint
Hydrocodone ER (Double-blind Treatment Period)0.50.70.50.60.60.81.1
Placebo (Double-blind Treatment Period)0.50.80.70.80.70.50.7

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Clinician Assessment of Patient Function (CAPF) at Endpoint

"Clinicians assessed participants across 5 dimensions:~Patients general activities~Patients walking ability~Patients ability to work/perform activities of daily living~Patients relationships with others~Patients enjoyment of life~Assessments are rated on a 7-point scale, in which 1 is very much worsened and 7 is very much improved since the start of the study.~Endpoint values are the last observed postbaseline data." (NCT01240863)
Timeframe: Endpoint of the Double-blind Treatment Period (up to week 12)

,
InterventionParticipants (Count of Participants)
General Activities: Very much worsenedGeneral Activities: Much worsenedGeneral Activities: Slightly worsenedGeneral Activities: UnchangedGeneral Activities: Slightly improvedGeneral Activities: Much improvedGeneral Activities: Very much improvedWalking ability: Very much worsenedWalking ability: Much worsenedWalking ability: Slightly worsenedWalking ability: UnchangedWalking ability: Slightly improvedWalking ability: Much improvedWalking ability: Very much improvedDaily living: Very much worsenedDaily living: Much worsenedDaily living: Slightly worsenedDaily living: UnchangedDaily living: Slightly improvedDaily living: Much improvedDaily living: Very much improvedRelationships: Very much worsenedRelationships: Much worsenedRelationships: Slightly worsenedRelationships: UnchangedRelationships: Slightly improvedRelationships: Much improvedRelationships: Very much improvedEnjoyment: Very much worsenedEnjoyment: Much worsenedEnjoyment: Slightly worsenedEnjoyment: UnchangedEnjoyment: Slightly improvedEnjoyment: Much improvedEnjoyment: Very much improved
Hydrocodone ER (Double-blind Treatment Period)05438374081454532196063463336802478261570555731277
Placebo (Double-blind Treatment Period)14946362411127593421714104933241001390151841296620258

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Clinician Assessment of Patient Function (CAPF) at Week 12

"Clinicians assessed participants across 5 dimensions:~Patients general activities~Patients walking ability~Patients ability to work/perform activities of daily living~Patients relationships with others~Patients enjoyment of life~Assessments are rated on a 7-point scale, in which 1 is very much worsened and 7 is very much improved since the start of the study." (NCT01240863)
Timeframe: Week 12 of the Double-blind Treatment Period

,
InterventionParticipants (Count of Participants)
General Activities: Very much worsenedGeneral Activities: Much worsenedGeneral Activities: Slightly worsenedGeneral Activities: UnchangedGeneral Activities: Slightly improvedGeneral Activities: Much improvedGeneral Activities: Very much improvedWalking ability: Very much worsenedWalking ability: Much worsenedWalking ability: Slightly worsenedWalking ability: UnchangedWalking ability: Slightly improvedWalking ability: Much improvedWalking ability: Very much improvedDaily living: Very much worsenedDaily living: Much worsenedDaily living: Slightly worsenedDaily living: UnchangedDaily living: Slightly improvedDaily living: Much improvedDaily living: Very much improvedRelationships: Very much worsenedRelationships: Much worsenedRelationships: Slightly worsenedRelationships: UnchangedRelationships: Slightly improvedRelationships: Much improvedRelationships: Very much improvedEnjoyment: Very much worsenedEnjoyment: Much worsenedEnjoyment: Slightly worsenedEnjoyment: UnchangedEnjoyment: Slightly improvedEnjoyment: Much improvedEnjoyment: Very much improved
Hydrocodone ER (Double-blind Treatment Period)03220272771232424275031282226600147181460233123216
Placebo (Double-blind Treatment Period)0042929191100338261870063026201000159131540054216218

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Clinician Assessment of Patient Function (CAPF) at Week 4

"Clinicians assessed participants across 5 dimensions:~Patients general activities~Patients walking ability~Patients ability to work/perform activities of daily living~Patients relationships with others~Patients enjoyment of life~Assessments are rated on a 7-point scale, in which 1 is very much worsened and 7 is very much improved since the start of the study." (NCT01240863)
Timeframe: Week 4 of the Double-blind Treatment Period

,
InterventionParticipants (Count of Participants)
General Activities: Very much worsenedGeneral Activities: Much worsenedGeneral Activities: Slightly worsenedGeneral Activities: UnchangedGeneral Activities: Slightly improvedGeneral Activities: Much improvedGeneral Activities: Very much improvedWalking ability: Very much worsenedWalking ability: Much worsenedWalking ability: Slightly worsenedWalking ability: UnchangedWalking ability: Slightly improvedWalking ability: Much improvedWalking ability: Very much improvedDaily living: Very much worsenedDaily living: Much worsenedDaily living: Slightly worsenedDaily living: UnchangedDaily living: Slightly improvedDaily living: Much improvedDaily living: Very much improvedRelationships: Very much worsenedRelationships: Much worsenedRelationships: Slightly worsenedRelationships: UnchangedRelationships: Slightly improvedRelationships: Much improvedRelationships: Very much improvedEnjoyment: Very much worsenedEnjoyment: Much worsenedEnjoyment: Slightly worsenedEnjoyment: UnchangedEnjoyment: Slightly improvedEnjoyment: Much improvedEnjoyment: Very much improved
Hydrocodone ER (Double-blind Treatment Period)0132338291110327362810023243929801160181871023926289
Placebo (Double-blind Treatment Period)01831333160083536265006363229700372131660084826199

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Clinician Assessment of Patient Function (CAPF) at Week 8

"Clinicians assessed participants across 5 dimensions:~Patients general activities~Patients walking ability~Patients ability to work/perform activities of daily living~Patients relationships with others~Patients enjoyment of life~Assessments are rated on a 7-point scale, in which 1 is very much worsened and 7 is very much improved since the start of the study." (NCT01240863)
Timeframe: Week 8 of the Double-blind Treatment Period

,
InterventionParticipants (Count of Participants)
General Activities: Very much worsenedGeneral Activities: Much worsenedGeneral Activities: Slightly worsenedGeneral Activities: UnchangedGeneral Activities: Slightly improvedGeneral Activities: Much improvedGeneral Activities: Very much improvedWalking ability: Very much worsenedWalking ability: Much worsenedWalking ability: Slightly worsenedWalking ability: UnchangedWalking ability: Slightly improvedWalking ability: Much improvedWalking ability: Very much improvedDaily living: Very much worsenedDaily living: Much worsenedDaily living: Slightly worsenedDaily living: UnchangedDaily living: Slightly improvedDaily living: Much improvedDaily living: Very much improvedRelationships: Very much worsenedRelationships: Much worsenedRelationships: Slightly worsenedRelationships: UnchangedRelationships: Slightly improvedRelationships: Much improvedRelationships: Very much improvedEnjoyment: Very much worsenedEnjoyment: Much worsenedEnjoyment: Slightly worsenedEnjoyment: UnchangedEnjoyment: Slightly improvedEnjoyment: Much improvedEnjoyment: Very much improved
Hydrocodone ER (Double-blind Treatment Period)11223243281113026266210253521700249191740013820257
Placebo (Double-blind Treatment Period)01634212790254119247017382224600168121631073819276

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Clinician Global Impression of Severity (CGI-S) of Illness Scores During the Double-blind Treatment Period

"The CGI-S is a clinician-rated scale that assesses the severity of the patient's pain condition and response to the treatment. Severity of illness, as related to moderate to severe pain, consists of the following 7 categories:~1 normal-shows no sign of illness,~2 borderline ill,~3 mildly (slightly) ill,~4 moderately ill,~5 markedly ill,~6 severely ill, and~7 among the most extremely ill (Guy 1976).~The clinician assesses the severity of the patient's condition, based on the clinician's total clinical experience with patients with this condition, in response to treatment.~Endpoint values are the last observed postbaseline data." (NCT01240863)
Timeframe: Baseline (end of Open-Label Titration Period), Weeks 1, 2, 4, 8, and 12 of the Double-blind treatment period

,
Interventionunits on a scale (Mean)
BaselineWeek 1Week 2Week 4Week 8Week 12Endpoint
Hydrocodone ER (Double-blind Treatment Period)2.82.92.82.72.72.72.8
Placebo (Double-blind Treatment Period)3.02.92.92.92.82.82.9

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Current Opioid Misuse Measures (COMM) Total Scores During Both the Open-Label Titration and Double-Blind Treatment Periods

"The COMM was a clinician rated scale developed as a brief self report measure of current aberrant drug-related behavior for patients with chronic pain who were already on long term opioid therapy. A total score was calculated as the sum of the 17 questions. The total score ranged from 0 to 68. A score of 0 indicates no aberrant drug-related behaviors were seen. Patients with a total score of 9 or greater were classified as exhibiting aberrant drug-related behavior.~The COMM was to be performed at visits 2 and 7 (beginning and end of Open-label Titration period) and weeks 1, 4, 8, and 12 (Double-blind Treatment period) or early termination." (NCT01240863)
Timeframe: Baseline for Open-Label Titration period, Baseline for Double-Blind Treatment period (which is also the end of the Open-Label Titration period), Weeks 1, 4, 8, 12, and Endpoint (last visit up to Week 12) of the Double-blind Treatment period

,
Interventionunits on a scale (Mean)
Baseline Open-Label TitrationBaseline Double-blind TreatmentWeek 1Week 4Week 8Week 12Endpoint
Hydrocodone ER (Double-blind Treatment Period)4.23.93.12.82.23.03.3
Placebo (Double-blind Treatment Period)3.73.72.92.42.52.83.0

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Participants With a Weekly Average Pain Intensity (wAPI) Increase From Baseline Exceeding 33%

"The API over the previous 24 hours, based on the 11-point Numerical Rating Scale (NRS 11), was collected daily by e-diary. The wAPI scores from the previous 7 days were calculated for each study visit and averaged. The baseline wAPI score was calculated by averaging API scores from 3 to 12 days when the successful dose of hydrocodone extended release was confirmed at the end of the open label titration period, before patients were randomly assigned study drug.~The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain on a Likert-type scale in which 0 is no pain and 10 is the worst pain imaginable." (NCT01240863)
Timeframe: Baseline (end of Open-Label Titration Period), Weeks 1, 2, 4, 8, and 12 of the Double-blind treatment period

,
InterventionParticipants (Count of Participants)
Week 1Week 2Week 4Week 8Week 12
Hydrocodone ER (Double-blind Treatment Period)131517911
Placebo (Double-blind Treatment Period)1431322624

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Participants With a Weekly Average Pain Intensity (wAPI) Increase From Baseline Exceeding 50%

"The API over the previous 24 hours, based on the 11-point Numerical Rating Scale (NRS 11), was collected daily by e-diary. The wAPI scores from the previous 7 days were calculated for each study visit and averaged. The baseline wAPI score was calculated by averaging API scores from 3 to 12 days when the successful dose of hydrocodone extended release was confirmed at the end of the open label titration period, before patients were randomly assigned study drug.~The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain on a Likert-type scale in which 0 is no pain and 10 is the worst pain imaginable." (NCT01240863)
Timeframe: Baseline (end of Open-Label Titration Period), Weeks 1, 2, 4, 8, and 12 of the Double-blind treatment period

,
InterventionParticipants (Count of Participants)
Week 1Week 2Week 4Week 8Week 12
Hydrocodone ER (Double-blind Treatment Period)99966
Placebo (Double-blind Treatment Period)716192015

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Need for Additional Intraoperative and/or Postoperative Pain Medication

To assess need for additional intraoperative and/or postoperative pain medication (NCT01330459)
Timeframe: 30 minutes after completion of the procedure (which started 45-90 minutes after study drug administration)

InterventionParticipants (Count of Participants)
Hydrocodone/Acetaminophen0
Placebo0

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Patient Perception of Pain

To determine whether HC/APAP, given in addition to a standard regimen of ibuprofen, lorazepam, and PCB, affects patient pain perception at the time of uterine aspiration, as measured by distance (mm) from the left of the 100 mm visual analog scale (VAS). The number 0 indicates no pain, and 100 indicates worst pain imaginable. (NCT01330459)
Timeframe: At time of uterine aspiration (baseline)

Interventionmm (Mean)
Hydrocodone/Acetaminophen65.7
Placebo63.1

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Satisfaction With Pain Control

Distance (mm) from the left of the 100 mm VAS (VAS anchors: 0 = unsatisfied, 100 mm = very satisfied) recorded 30 minutes after completion of the procedure. (NCT01330459)
Timeframe: 30 minutes after completion of the procedure (which started 45-90 minutes after study drug administration)

Interventionmm (Mean)
Hydrocodone/Acetaminophen74.8
Placebo67.3

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Patient Perception of Pain During Cervical Dilation

Distance (mm) from the left of the 100 mm VAS scale (VAS anchors: 0 = none, 100 mm = worst imaginable) recorded after cervical dilation (NCT01330459)
Timeframe: During procedure (approximately 45-90 min after hydrocodone/acetaminophen or placebo, and within 5 minutes of procedure starting)

Interventionmm (Mean)
Hydrocodone/Acetaminophen47.2
Placebo43.9

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Postoperative Nausea

To assess whether HC/APAP is associated with nausea, measured on the 100 mm VAS, recorded 30 minutes postoperatively. VAS anchors: 0 indicates no pain, and 100 indicates worst pain imaginable. (NCT01330459)
Timeframe: 30 minutes after completion of the procedure (which started 45-90 minutes after study drug administration)

Interventionmm (Mean)
Hydrocodone/Acetaminophen19.4
Placebo11.4

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Time to Perceptible and Meaningful Pain Relief

The median time (minutes) from first perceptible pain relief (onset of pain relief) and time until first meaningful pain relief. (NCT01333722)
Timeframe: From time of first study drug administration to 12 hours following first study drug administration

,
Interventionminutes (Median)
Time to Onset of Perceptible Pain ReliefTime to Onset of Meaningful Pain Relief
Hydrocodone/Acetaminophen Extended Release34.0119.0
Placebo56.0NA

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SPRID (Pain Relief and Pain Intensity Difference)

"SPRID was defined as the sum of Pain Relief score (TOTPAR, See Outcome Measure 2 for details*) plus the Pain Intensity Difference (SPID) Categorical score, where participants assessed pain intensity on a Categorical Pain Intensity Scale by answering the following question: My pain at this time is… with one of the following responses: no pain or none, mild pain, moderate pain, or severe pain). Higher mean SPRID scores indicated better pain control. The SPRID score is a measure of the cumulative pain intensity difference during treatment and the area under the curve was estimated using the linear trapezoidal rule." (NCT01333722)
Timeframe: From time of first study drug administration to 12 hours following first study drug administration

Interventionscores on a scale (Least Squares Mean)
Hydrocodone/Acetaminophen Extended Release23.4
Placebo7.2

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Sum of Pain Intensity Difference (SPID) Using the Pain Intensity Visual Analog Scale (VAS)

"Participants assessed pain intensity on a 100 mm visual analogue scale (VAS) with 0 meaning no pain and 100 meaning the worst pain imaginable. The SPID VAS score for 0 to 12 hours following initial study drug dose measured the cumulative pain intensity difference during treatment with higher mean SPID VAS scores indicating greater improvement from Baseline. The SPID score is a measure of the cumulative pain intensity difference during treatment and the area under the curve was estimated using the linear trapezoidal rule." (NCT01333722)
Timeframe: From time of first study drug administration to 12 hours following first study drug administration

Interventionscores on a scale (Least Squares Mean)
Hydrocodone/Acetaminophen Extended Release259.0
Placebo39.4

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TOTPAR (Total Pain Relief)

TOTPAR was the time-interval weighted sum of pain relief. Pain relief was assessed by participants' responses to how their pain relief was compared with the pain they had just before receiving the first dose of study drug: no relief, a little relief, some relief, a lot of relief, or complete relief. Higher mean TOTPAR scores indicate better pain relief. The TOTPAR score is a measure of the cumulative pain intensity difference during treatment and the area under the curve was estimated using the linear trapezoidal rule. (NCT01333722)
Timeframe: From time of first study drug administration to 12 hours following first study drug administration

Interventionscores on a scale (Least Squares Mean)
Hydrocodone/Acetaminophen Extended Release15.4
Placebo5.3

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Participant's Global Assessment of Study Drug at Final Evaluation

"The participant's overall impression of the study drug was obtained by having the participant answer the question How would you rate your overall response to the study medication? on a 5-point categorical scale: excellent; very good; good; fair; poor." (NCT01364922)
Timeframe: Double-blind baseline to Day 29

,
Interventionparticipants (Number)
ExcellentVery GoodGoodFairPoor
Double-blind Hydrocodone/Acetaminophen Extended Release211363113
Double-blind Placebo7419115

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Participant's Global Assessment of Back Pain Status at Final Evaluation

"The participant's overall impression of their back pain status was obtained by having the participant answer the question Considering all the ways your chronic low back pain affects you, how are you doing today? on a 5-point categorical scale: very good (no symptoms and no limitation of normal activities); good (mild symptoms and no limitation of normal activities); fair (moderate symptoms and limitation of some normal activities); poor (severe symptoms and inability to carry out most normal activities); very poor (very severe symptoms which are intolerable and inability to carry out all normal activities)." (NCT01364922)
Timeframe: Double-blind baseline to Day 29

,
Interventionparticipants (Number)
Very GoodGoodFairPoorVery Poor
Double-blind Hydrocodone/Acetaminophen Extended Release134725100
Double-blind Placebo2161990

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Change From Double-blind Baseline in Chronic Lower Back Pain (CLBP) Intensity by Visual Analog Scale (VAS)

The change from the double-blind randomization baseline (DB baseline: the last assessment before first dose in the double-blind period) to the final assessment in pain intensity, assessed using the CLBP Intensity VAS (0 mm = No Pain and 100 mm = Worst Pain Imaginable). Least squares means and standard errors from an ANCOVA model. (NCT01364922)
Timeframe: Double-blind baseline to Day 29

Interventionscores on a scale (Least Squares Mean)
Double-blind Hydrocodone/Acetaminophen Extended Release10.9
Double-blind Placebo19.9

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Treatment Satisfaction Questionnaire (TSQ) - Part I

The TSQ is a self-administered questionnaire that consists of 2 parts. Part I has 6 questions (Q1 to Q6) that ask the subject to rate the experience with use of the study drug in comparison to the prestudy pain medication regarding ease of use, convenience, frequency, pain control, and overall satisfaction. Each question was rated on a scale from 1 (extremely satisfied) to 6 (extremely dissatisfied): Q1=Satisfaction with study drug; Q2=Ease of study drug use to treat pain; Q3=Convenience of study drug to treat pain; Q4=Overall drug satisfaction managing pain; Q5=Satisfaction with frequency of use; Q6=Ease of planning study drug use. The number of subjects with each category (1-6) of response for each individual question (Q1-Q6) was summarized for subjects who entered the core study maintenance period and responded to each question. TSQ - Part I was not administered in the extension period. (NCT01400139)
Timeframe: At Week 52 or upon early discontinuation at or before Week 4 in the Core Study maintenance period

Interventionparticipants (Number)
Q1: Satisfaction - extremely satisfiedQ1: very satisfiedQ1: satisfiedQ1: dissatisfiedQ1: very dissatisfiedQ1: extremely dissatisfiedQ2: Ease of study drug use - extremely easyQ2: very easyQ2: easyQ2: difficultQ2: very difficultQ2: extremely difficultQ3: Convenience of study drug-extremely convenientQ3: very convenientQ3: convenientQ3: inconvenientQ3: very inconvenientQ3: extremely inconvenientQ4: Overall drug satisfaction- extremely satisfiedQ4: very satisfiedQ4: satisfiedQ4: dissatisfiedQ4: very dissatisfiedQ4: extremely dissatisfiedQ5: Satisfaction use frequency-extremely satisfiedQ5: very satisfiedQ5: satisfiedQ5: dissatisfiedQ5: very dissatisfiedQ5: extremely dissatisfiedQ6: Ease of planning use - extremely easyQ6: very easyQ6: easyQ6: difficultQ6: very difficultQ6: extremely difficult
HYD Core Study14022018138862532091101542266196118841141200195446726516913914422841891061112

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Medical Outcomes Study 36-item Short Form (SF-36)

The SF-36 is a generic health survey with 36 items that measure functional health and well-being from the subject's perspective. The 36 questions are grouped into 11 sections. Some of the sections consist of multiple questions. The survey is summarized into 8 dimensions/scales: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health. From the 8 health dimensions, physical component summary, and mental component summary measures are derived. Scores on each scale ranged from 0 to 100; a higher score indicates a better perception of health. (NCT01400139)
Timeframe: Up to 52 weeks in the Core Study maintenance period, and up to 24 weeks in the Extension Period

,
Interventionunits on a scale (Mean)
Physical FunctioningRole PhysicalBodily PainGeneral HealthVitalitySocial FunctioningRole EmotionalMental HealthPhysical Component SummaryMental Component Summary
HYD Core Study40.6143.2742.5449.2849.7749.4450.6352.7540.3855.13
HYD Extension Period41.9343.7843.0549.1850.4550.5551.6052.9341.0455.68

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Medical Outcomes Study (MOS) Sleep Scale - Revised (MOS Sleep-R)

The MOS Sleep-R is a brief, self-administered 12-item assessment designed to measure key aspects of sleep. It includes a sleep problems index II and 6 subscale scores - sleep disturbance, sleep adequacy, daytime somnolence, snoring, awaken short of breath or with headache, and quantity of sleep. For each individual and time of assessment, quantity of sleep was recorded as the number of hours slept per night. The number of hours it took the subject to fall asleep per night was categorized 1, 2, 3, 4, or 5 corresponding to 0 through 15, 16 through 30, 31 through 45, 46 through 60, or more than 60 minutes, respectively. The other scales were recorded as 1 = all of the time, 2 = most of the time, 3 = some of the time, 4 = a little of the time, or 5 = none of the time. A higher value indicates a better score, therefore a positive change from baseline indicates a better sleep pattern and a negative change from baseline indicates a worsening in sleep pattern. (NCT01400139)
Timeframe: Baseline and up to 52 weeks in the Core Study maintenance period, and up to 24 weeks in the Extension Period

,
Interventionunits on a scale (Mean)
Change from Baseline in Sleep DisturbanceChange from Baseline in Sleep AdequacyChange from Baseline in Daytime SomnolenceChange from Baseline in SnoringChange from Baseline in Shortness of BreathChange from Baseline in Quantity of SleepChange from Baseline in Sleep Problem Index II
HYD Core Study4.693.290.571.281.460.294.04
HYD Extension Period3.652.940.891.773.460.173.70

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Brief Pain Inventory Short Form (BPI-SF)

"The BPI-SF assessed the severity of pain and interference of pain on daily functions. It consists of 9 sections denoted by Q1 to Q8 and Q9A to Q9G according to their order in the questionnaire, that measure pain location, intensity, pain treatment, and functional interference of pain on mood and every day activities. Scores ranged from 0 (none) to 10 (worst as can be). Four of the items (questions 3 to 6) assess severity of pain and 7 items (questions 9A to 9G) assess interference of pain. The pain interference subscale score was determined by calculating the mean of responses to Q9A - Q9G [Q9A (general activity), Q9B (mood),Q9C (walking), Q9D (working), Q9E (relations with others), Q9F (sleep), and Q9G (enjoyment of life)] and the severity of pain subscale score was determined by calculating the mean of responses to Q3 - Q6 [Q3 (worst pain in last 24 hours), Q4 (least pain in last 24 hours), Q5 (average pain), and Q6 (pain right now)]. A lower score indicates lower pain." (NCT01400139)
Timeframe: Up to 52 weeks in the Core Study maintenance period, and up to 24 weeks in the Extension Period

,
Interventionunits on a scale (Mean)
General Activity (Q9A)Mood (Q9B)Walking Ability (Q9C)Normal Work (Q9D)Relations with Others (Q9E)Sleep (Q9F)Enjoyment of Life (Q9G)BPI - Pain Interference Subscale ScoreWorst Pain - Last 24 Hours (Q3)Least Pain - Last 24 Hours (Q4)Average Pain (Q5)Pain Right Now (Q6)BPI - Severity of Pain Subscale Score
HYD Core Study3.242.233.073.221.632.632.552.654.522.883.673.393.62
HYD Extension Period3.271.902.983.211.342.432.232.484.712.903.723.493.71

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"Pain Right Now Score"

"Pain right now scores were collected using an 11-point scale where 0 = no pain and 10 = pain as bad as you can imagine. The pain right now scores were only collected during the Core Study. Pain right now scores were not assessed during the Extension Period." (NCT01400139)
Timeframe: Week 12

Interventionunits on a scale (Mean)
HYD Core Study3.46

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"Daily Average Pain Over the Last 24 Hours"

"Average pain over the last 24 hours score (on an 11-point numerical rating scale where 0 = no pain and 10 = pain as bad as you can imagine)." (NCT01400139)
Timeframe: Core study: from start to end of maintenance period (up to 52 weeks); Extension study: from start of maintenance to end of extension (up to 76 weeks)

Interventionunits on a scale (Mean)
HYD Core Study3.6
HYD Extension Period3.8

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Treatment Satisfaction Questionnaire (TSQ) - Part II

The TSQ is a self-administered questionnaire that consists of 2 parts. Part II has 2 questions that measure the subject's willingness to continue the use of study drug as pain medication (Q1), and to recommend the study drug to someone else (Q2). Question 1 consists of 6 categories of response rated on a scale from 1 (very willing to continue) to 6 (very unwilling to continue): 1=Very willing to continue; 2=Willing to continue; 3=Somewhat willing to continue; 4=Somewhat unwilling to continue; 5=Unwilling to continue; 6=Very unwilling to continue. Question 2 consists of 3 categories of response: 1=yes; 2=no; 3=undecided. The number of subjects with each category of response for each individual question was summarized for subjects completing the core study maintenance period and for those enrolled in the extension period. (NCT01400139)
Timeframe: At Week 52 or upon early discontinuation at or before Week 4 in maintenance and at Week 24 in extension

,
Interventionparticipants (Number)
Q1:Willingness to continue study drug-very willingQ1: willing to continueQ1: somewhat willing to continueQ1: somewhat unwilling to continueQ1: unwilling to continueQ1: very unwilling to continueQ2: Recommend study drug for pain - yesQ2: noQ2: undecided
HYD Core Study281141532979535463654
HYD Extension Period51291843090411

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The Number of Participants With Adverse Events as a Measure of Safety

Safety assessments included AEs, clinical laboratory test results, vital sign measurements, ECG findings, and audiology assessments. (NCT01400139)
Timeframe: Up to 84 weeks

,
Interventionparticipants (Number)
Serious adverse eventsAll other adverse events in ≥ 5% of patients
HYD Core Study80586
HYD Extension Period60

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Patient Global Impression of Change (PGIC)

The PGIC is an ordinal scale of global evaluation that assesses the change in overall status relative to the start of the study. The scale has only 1 item that measures global change of overall status (improvement or worsening) by the subject on a 7-point scale (Very much improved, Much improved, Minimally improved, No change, Minimally worse, Much worse, Very much worse. (NCT01400139)
Timeframe: At Week 52 in the Core Study maintenance period and at Week 24 in the Extension Period

,
Interventionparticipants (Number)
Very much improvedMuch improvedMinimally improvedNo changeMinimally worseMuch worseVery much worse
HYD Core Study13227616412147294
HYD Extension Period2155179210

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Overall Satisfaction With the Pain Medicine

Overall satisfaction with the oral opioid pain medication at 24 hours after discharge using a Likert scale. Patients will be asked to describe their overall experience as being very satisfied, satisfied, unsatisfied or very unsatisfied with the study medication. (NCT01402375)
Timeframe: 24 hrs

,,,,,
InterventionParticipants (Count of Participants)
Number of participants satisfied with analgesicparticipants would want the same analgesic again
Codeine (First Trial)6666
Codeine (for Second Trial)9185
Hydrocodone (First Trial)7259
Hydrocodone (Third Trial)9790
Oxycodone (for Second Trial)9991
Oxycodone (Third Trial)9386

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Difference in Pain Intensity Score Before and After Last Dose.

"Pain intensity is measured on the numerical rating scale (NRS) from 0 (no pain) to 10 (worst pain imaginable). The difference in pain score is calculated by subtracting the average score 2 hours after pain medication is taken from the average pain score immediately before the pain medication is taken." (NCT01402375)
Timeframe: 2 hrs

,,,,,
Interventionunits on a scale (Mean)
before most recent dose2 hours after most recent dosechange in NRS before to after most recent dose
Codeine (First Trial)7.64.13.5
Codeine (for Second Trial)7.93.64.2
Hydrocodone (First Trial)7.63.63.9
Hydrocodone (Third Trial)7.63.64.0
Oxycodone (for Second Trial)7.93.44.5
Oxycodone (Third Trial)7.83.34.4

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Time to Follow up

Median time to contact patients for data collection, measured from discharge to time contacted (NCT01402375)
Timeframe: up to 48 hours

Interventionhours (Median)
Hydrocodone (First Trial)27
Codeine (First Trial)25
Oxycodone (for Second Trial)26
Codeine (for Second Trial)28
Oxycodone (Third Trial)27
Hydrocodone (Third Trial)28

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50% or Greater Decrease in Numerical Rating Scale (NRS) Pain Score

(NCT01402375)
Timeframe: 2 hours

InterventionParticipants (Count of Participants)
Hydrocodone (First Trial)50
Codeine (First Trial)45
Oxycodone (for Second Trial)73
Codeine (for Second Trial)64
Oxycodone (Third Trial)68
Hydrocodone (Third Trial)66

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Patient Global Impression of Change (PGIC)

"The PGIC is an ordinal scale which assesses the change in overall status relative to the start of the study. The scale has only 1 item, which measures global change of overall status by the subject on a 7-point scale (very much improved, much improved, minimally improved, no change, minimally worse, much worse, very much worse), where 1 = very much improved and 7 = very much worse. The proportion of subjects responding very much improved and much improved was summarized by treatment group." (NCT01452529)
Timeframe: Week 12

,
InterventionParticipants (Number)
Total Subjects Completing PGICSubjects Responding Very Much or Much Improved
Hydrocodone Bitartrate283173
Placebo267130

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Medical Outcome Study Sleep Scale - Revised (MOS Sleep-R) - Sleep Disturbance Subscale

"The MOS Sleep-R is a brief, self-administered 12-item assessment designed to measure key aspects of sleep. It includes a sleep problems index and 6 subscales - sleep disturbance, sleep adequacy, daytime somnolence, snoring, awaken short of breath or with headache, and quantity of sleep. The sleep disturbance subscale comprised the responses to questions 1, 3, 7, and 8 on the assessment. The individual responses for each question were recorded on a 5-point scale with options ranging from 1 - all of the time to 5 - none of the time. Sleep disturbance scores were transformed linearly on a scale of 0-100. A higher value indicates a better score; therefore, a higher score indicates a better sleep pattern." (NCT01452529)
Timeframe: Weeks 4, 8, and 12

,
Interventionunits on a scale (Mean)
ScreeningWeek 4Week 8Week 12
Hydrocodone Bitartrate44.3850.3850.1651.57
Placebo44.7250.5151.1652.12

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"Mean Pain Intensity for Average Pain Over the Last 24 Hours Score"

"Mean pain intensity for average pain over the last 24 hours score (on an 11-point numerical rating scale where 0 = no pain and 10 = pain as bad as you can imagine)." (NCT01452529)
Timeframe: Week 12

Interventionunits on a scale (Mean)
Hydrocodone Bitartrate3.7
Placebo4.2

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Responder Analysis for Subjects With a ≥ 50% Reduction in Pain Compared to Baseline

A subject's response to treatment was defined as the percentage reduction from the screening mean pain score to the mean pain intensity at week 12 of the double-blind period. (NCT01452529)
Timeframe: Baseline to Week 12

,
InterventionParticipants (Number)
Number of Subjects RespondingNumber of Subjects with ≥ 50% Reduction in Pain
Hydrocodone Bitartrate285137
Placebo280109

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Responder Analysis for Subjects With a ≥ 30% Reduction in Pain Compared to Baseline

A subject's response to treatment was defined as the percentage reduction from the screening mean pain score to the mean pain intensity at week 12 of the double-blind period. (NCT01452529)
Timeframe: Baseline to Week 12

,
InterventionParticipants (Number)
Number of Subjects RespondingNumber of Subjects with ≥ 30% Reduction in Pain
Hydrocodone Bitartrate285184
Placebo280147

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Peak Plasma Concentration of Hydromorphone

Determine the plasma pharmacokinetic profile of hydromorphone in chronic pain subjects taking hydrocodone within a 6 hour time frame. Note: Sensitivity of the lab test used to determine plasma hydromorphone concentrations was not sufficient. Failure to meet the lowest level of detection, all subjects plasma hydromorphone concentrations were recorded as zero at all time points. (NCT01517295)
Timeframe: Up to 6 hours

,
Interventionng/mL (Mean)
Hour 0Hour 1Hour 2Hour 3Hour 4Hour 5Hour 6
Group 100NA0NA0NA
Group 20NA0NA0NA0

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Peak Urine Concentration of Hydromorphone

Analyze the urine concentration of hydromorphone (NCT01517295)
Timeframe: Up to 4 hours

,
Interventionng/mL (Mean)
Hour 0Hour 3Hour 4
Group 1726.69815.63NA
Group 2211.36NA205.57

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PHQ-9

Patient Health Questionnaire-9 to assess symptoms of depression. The scale range is from 0-27, where 0 is no symptoms of depression and 27 is severe depression. (NCT01588158)
Timeframe: 1 day

Interventionunits on a scale (Mean)
Vicodin 5/325 mg6.5
Acetaminophen 325 mg4.7

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QuickDASH

The short form of the Disabilities of Arm Shoulder and Hand to assess upper extremity disability. The scale range is from 0-100, where 0 is no difficulty performing tasks and 100 is the most difficulty or unable to complete any tasks. (NCT01588158)
Timeframe: At enrollment prior to surgery

Interventionunits on a scale (Mean)
Vicodin 5/325 mg41.5
Acetaminophen 325 mg33.3

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Pain Patients Expect After Surgery

an 11-point ordinal scale to assess the amount of pain the patients expect after surgery. The scale range is from 0-10, where 0 is no pain expected and 10 is the worst pain expected (NCT01588158)
Timeframe: 1 day

Interventionunits on a scale (Mean)
Vicodin 5/325 mg3.5
Acetaminophen 325 mg4

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Satisfaction With Pain Relief

an 11-point ordinal scale to ask for the satisfaction of the patients with pain relief. The scale range is from 0-10, where 0 is complete dissatisfaction with pain relief and 10 is complete satisfaction. (NCT01588158)
Timeframe: at the follow-up, 2 weeks after the operation with suture removal

Interventionunits on a scale (Mean)
Vicodin 5/325 mg6.75
Acetaminophen 325 mg6.67

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Expectation of Pain Relief

An 11-point ordinal scale to assess the expectation of how well the pain medication will work after surgery. The scale range is from 0-10, where 0 is not effective at all and 10 is completely effective. (NCT01588158)
Timeframe: 1 day

Interventionunits on a scale (Mean)
Vicodin 5/325 mg8.25
Acetaminophen 325 mg8.33

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Pain Scale

11-point ordinal pain scale to assess the amount of pain. The scale range is from 0-10, where 0 is no pain at all and 10 is the worst pain ever had. (NCT01588158)
Timeframe: At the follow-up 2 weeks after the surgery with suture removal

Interventionunits on a scale (Mean)
Vicodin 5/325 mg4.5
Acetaminophen 325 mg1.3

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Pain Scale

11-point ordinal pain scale to assess the amount of pain. The scale range is from 0-10, where 0 is no pain at all and 10 is the worst pain ever had. (NCT01588158)
Timeframe: At enrollment prior to surgery

Interventionunits on a scale (Mean)
Vicodin 5/325 mg4.75
Acetaminophen 325 mg6

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PSEQ

The pain self efficacy questionnaire measures a patient's belief about his/her ability to complete a task despite his/her pain. The scale range is from 0-60, where 60 represents higher self-efficacy beliefs. (NCT01588158)
Timeframe: 1 day

Interventionunits on a scale (Mean)
Vicodin 5/325 mg41.75
Acetaminophen 325 mg46

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QuickDASH

The short form of the Disabilities of Arm Shoulder and Hand to assess upper extremity disability. The scale range is from 0-100, where 0 is no difficulty performing tasks and 100 is the most difficulty or unable to complete any tasks. (NCT01588158)
Timeframe: At the follow-up 2 weeks after the surgery with suture removal

Interventionunits on a scale (Mean)
Vicodin 5/325 mg46.0
Acetaminophen 325 mg36.4

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Hospital Length of Stay

Anesthesia start time determined from anesthesia portion of the medical record. Time at which discharge order was placed will serve as time of discharge. (NCT01592708)
Timeframe: Anesthesia start time to placement of hospital discharge order - average 26 - 28 hours

Interventionhours (Median)
Intervention Cohort26.4
Comparison Cohort28.2

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Post-operative Nausea

End of surgery time determined by anesthesia portion of the medical record. PONV to be assessed by review of surgeons' and nurses' notes in the medical record as well as through review of patient diaries. Vomiting constitutes a safety issue and, as such, associated adverse events will be noted. (NCT01592708)
Timeframe: End of surgery to discharge from hospital

Interventionpercentage of subjects with PON (Number)
Intervention Cohort24
Comparison Cohort70

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Post-discharge Vomiting

(NCT01592708)
Timeframe: 1 week post discharge

Interventionpercentage of subjects with PDV (Number)
Intervention Cohort22
Comparison Cohort29

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Post-discharge Nausea

To be assessed based on patient diary completed daily for 1 week following discharge to home from the hospital (NCT01592708)
Timeframe: 1 week from discharge from hospital

Interventionpercentage of subjects with PDN (Number)
Intervention Cohort72
Comparison Cohort60

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Post-operative Vomiting

(NCT01592708)
Timeframe: End of surgery to discharge from hospital

Interventionpercentage of subjects with POV (Number)
Intervention Cohort11
Comparison Cohort28

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Kaplan-Meier Estimates for Time to Loss of Efficacy

Time to loss of efficacy was defined as discontinuation of study drug for lack of efficacy or the start of excessive rescue medication while taking study drug. Excessive rescue medication usage was defined as 10 or more days of rescue medication usage in any 14 consecutive days at a total of 15 mg (hydrocodone-equivalent) or higher each day during the post 2-week tapering period of the double-blind treatment period. (NCT01789970)
Timeframe: Day 1 to Week 12 of Treatment Period

Interventiondays (Median)
Placebo (Double-blind Treatment Period)NA
Hydrocodone ER (Double-blind Treatment Period)NA

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Change From Baseline to Week 12 of the Treatment Period in Weekly Average Pain Intensity (API)

"The API over the last 24 hours was recorded daily by patients in an electronic diary using an 11-point numerical rating scale (NRS-11), a Likert-type scale in which 0=no pain and 10=the worst pain imaginable. Participants selected the number that best described the average pain intensity over the last 24 hours. Weekly API scores averaged daily scores collected over the previous 7 days for each analysis visit. Negative change from baseline scores indicate improvement in pain control.~The analysis included API data observed before discontinuation of study drug and was based on the MI method to handle missing scores at week 12. Consistent with the recommendations of the National Academy of Sciences (NAS) report (Panel on Handling Missing Data in Clinical Trials 2010), the MI method includes an assumption of missing at random (MAR) and takes into account a potential bias toward the active-drug treatment group for patients who discontinued study drug because of adverse events." (NCT01789970)
Timeframe: Days -6 to 0 of Treatment Period (baseline), Week 12

Interventionunits on a scale (Mean)
Placebo (Double-blind Treatment Period)0.57
Hydrocodone ER (Double-blind Treatment Period)0.02

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Change From Baseline to Week 12 of the Treatment Period in Weekly Average of Daily Worst Pain Intensity (WPI)

"The WPI was recorded daily by participants in an electronic diary using an 11-point numerical rating scale (NRS-11), a Likert-type scale in which 0=no pain and 10=the worst pain imaginable. Participants selected the number that best described their worst pain intensity over the last 24 hours. Weekly WPI scores averaged daily scores collected over the previous 7 days for each analysis visit. Negative change from baseline scores indicate improvement in pain control.~The analysis included WPI data observed before discontinuation of study drug and was based on the multiple imputations (MI) method to handle missing scores at week 12. Consistent with the recommendations of the National Academy of Sciences (NAS) report (Panel on Handling Missing Data in Clinical Trials 2010), the MI method includes an assumption of missing at random (MAR) and takes into account a potential bias toward the active-drug treatment group for patients who discontinued study drug because of adverse events." (NCT01789970)
Timeframe: Days -6 to 0 of Treatment Period (baseline), Week 12 of Treatment Period

Interventionunits on a scale (Mean)
Placebo (Double-blind Treatment Period)0.71
Hydrocodone ER (Double-blind Treatment Period)0.07

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Participants With Clinically Significant Hearing Changes From Baseline to Final Assessment in Pure Tone Audiometry Test Results

"Pure tone audiometry was performed by a qualified audiologist and was not done at the study center. During the test, the patient wore headphones and was seated in a quiet room; trained personnel manipulated the audiometry equipment to test the patient's hearing. For serial audiograms, the criteria for a clinically significant (CS) hearing change were based on the guidance from the American Speech-Language Hearing Association (ASHA) 1994 (Konrad-Martin et al 2005). These criteria included the following: greater than 20 decibels (dB) pure tone threshold shift at 1 frequency; greater than 10 dB shift at 2 consecutive test frequencies; or threshold response shifting to no response at 3 consecutive test frequencies." (NCT01789970)
Timeframe: Days 7-14 of Titration Period (baseline), Day 0 of Treatment Period (last day of Titration Period), Week 12 or end of study visit during the Treatment Period

,,
InterventionParticipants (Count of Participants)
>= 1 CS value during study>= CS value during open-label titration period>= 1 CS during double-blind treatment period>=CS value at endpoint
Hydrocodone ER (Double-blind Treatment Period)8267
Hydrocodone ER (Safety Analysis Set)2913NANA
Placebo (Double-blind Treatment Period)10588

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Change From Baseline to Final On-Treatment Visit in Roland Morris Disability Questionnaire (RMDQ) Score

The RMDQ is a patient-rated, 24-question evaluation used to assess acute disability associated with low back pain. Each question is answered with a YES or NO response, and each YES response is given 1 point. Scores on the RMDQ range from 0 to 24, with higher scores indicating greater disability. Negative change from baseline scores indicate improvement in level of disability. (NCT01789970)
Timeframe: Days 7-14 of Titration Period (baseline), Week 12 or end of study visit during the Treatment Period

Interventionunits on a scale (Mean)
Placebo (Double-blind Treatment Period)-1.9
Hydrocodone ER (Double-blind Treatment Period)-1.5

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Participants With Potentially Clinically Significant Abnormal Laboratory Values During the Double-Blind Treatment Period

"Data represents participants with potentially clinically significant abnormal serum chemistry, hematology and urinalysis values.~Significance criteria:~Blood urea nitrogen: >=10.71 mmol/L~Creatinine: >=177 μmol/L~Uric acid: M>=625, F>=506 μmol/L~Alanine aminotransferase (ALT): >=3* upper limit of normal (ULN)~Gamma-glutamyl transpeptidase (GGT): >=3* upper limit of normal (ULN)~Serum white blood cells: <=3.0 * 10^9/L~Hemoglobin: M<=115, F<=95 g/dL~Hematocrit: M<0.37, F<0.32 L/L~Eosinophils: >=10.0 %~Absolute neutrophils: <=1.0 * 10^9/L~Urinalysis: Glucose: >=2 unit increase from baseline" (NCT01789970)
Timeframe: Day 1 up to Week 12 of the Treatment Period

,
InterventionParticipants (Count of Participants)
Blood urea nitrogenCreatinineUric acidALTGGTWhite blood cellsHemoglobinHematocritEosinophilsAbsolute neutrophilsUrine glucose
Hydrocodone ER (Double-blind Treatment Period)11425023223
Placebo (Double-blind Treatment Period)30316116112

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Participants With Potentially Clinically Significant Abnormal Vital Sign Values During the Double-Blind Treatment Period

"Data represents participants with potentially clinically significant (PCS) vital sign values.~Significance criteria~Pulse - high: >=120 and increase of >= 15 beats/minute from baseline~Pulse - low: <=50 and decrease of >=15 beats/minute~Systolic blood pressure - high: >=180 and increase >=20 mmHg~Systolic blood pressure - low: <=90 and decrease >=20 mmHg~Diastolic blood pressure - high: >=105 and increase of >=15 mmHg~Diastolic blood pressure - low: <=50 and decrease of >=15 mmHg" (NCT01789970)
Timeframe: Day 1 to Week 12 of the Treatment Period

,
InterventionParticipants (Count of Participants)
Pulse - highPulse - lowSystolic BP - highSystolic BP - lowDiastolic BP - highDiastolic BP - low
Hydrocodone ER (Double-blind Treatment Period)112332
Placebo (Double-blind Treatment Period)211200

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Percentage of Participants With a 30% or Greater Increase in Weekly Average Pain Intensity (API) From Baseline to Week 12 Visit, and an Average API Score of 5 or Higher at Week 12

The API over the last 24 hours was recorded daily by participants in an electronic diary using an 11-point numerical rating scale (NRS-11), a Likert-type scale in which 0=no pain and 10=the worst pain imaginable. Participants selected the number that best described the average pain intensity over the last 24 hours. Weekly API scores averaged daily scores collected over the previous 7 days for each analysis visit. (NCT01789970)
Timeframe: Days -6 to 0 of Treatment Period (baseline), Week 12

,
Interventionpercentage of participants (Number)
API increase >=30% and API >=5API increase >=30%API >=5
Hydrocodone ER (Double-blind Treatment Period)12.521.116.4
Placebo (Double-blind Treatment Period)18.836.124.1

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Subjective Opiate Withdrawal Scales (SOWS) Total Scores During the Double-Blind Treatment Period

The results of the SOWS were collected in the e-diary daily during the first 4 weeks of the double blind treatment period and then during clinic visits at week 12 or early termination. The SOWS was a self-administered questionnaire used to measure a participant's signs and symptoms of withdrawal from opiates. The scale contained 16 symptoms (such as my nose is running; I feel restless), the participant rated the intensity on a scale of 0 (not at all) to 4 (extremely) for a total score of 0-64. The daily total score for the first 4 weeks was the largest score observed during the time period preceding that visit. For example, the week 1 score for each participant was the largest total score on any day between baseline and the night before the week 1 visit; the week 4 score for each participant was the largest score observed between the week 2 visit and the night before the week 4 visit. (NCT01789970)
Timeframe: Weeks 1, 2, 4 and Endpoint of the Treatment Period

,
Interventionunits on a scale (Mean)
Week 1Week 2Week 4Endpoint
Hydrocodone ER (Double-blind Treatment Period)6.65.15.56.1
Placebo (Double-blind Treatment Period)6.95.15.05.7

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Participants With Adverse Events During Open-Label Titration and Double-Blind Treatment Periods

An adverse event (AE) was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an inability to carry out usual activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes. (NCT01789970)
Timeframe: Day 1 of Titration Period up to Week 12 of Treatment Period (maximum treatment duration was 127 days)

,,,
InterventionParticipants (Count of Participants)
Any adverse eventSevere adverse eventTreatment-related adverse eventDeathsSerious adverse eventDiscontinued study drug treatment due to AE
Hydrocodone ER (Double-blind Treatment Period)1069670311
Opioid-Experienced (Open-Label Titration Period)1175810422
Opioid-Naive (Open-Label Titration Period)196131660653
Placebo (Double-blind Treatment Period)88350037

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Clinical Opiate Withdrawal Scales (COWS) Total Scores During the Double-Blind Treatment Period

"COWS is a clinician-rated scale used to measure a participant's signs and symptoms of withdrawal from opiates, with ratings based only on apparent relationship to withdrawal. The COWS was performed at weeks 1, 2, 4, and 12 (double blind treatment period) or early termination. The scale contained 11 signs/symptoms whose intensity the clinician rated on a scale of 0 to 4 or 5.~A total score was calculated as the sum of the responses to the 11 signs/symptoms for a total range of 0-48. Withdrawal severity was classified, based on the total score, as follows:~0 to 4=normal~5 to 12=mild~13 to 24=moderate~25 to 36=moderately severe~36=severe" (NCT01789970)
Timeframe: Weeks 1, 2, 4 and Endpoint of the Treatment Period

,
Interventionunits on a scale (Mean)
Week 1Week 2Week 4Endpoint
Hydrocodone ER (Double-blind Treatment Period)0.80.70.60.7
Placebo (Double-blind Treatment Period)0.90.80.80.9

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Participants With Potentially Clinically Significant Abnormal Electrocardiogram Findings During the Double-Blind Treatment Period

Data represents the number of participants with potentially clinically significant (PCS) electrocardiogram findings on the final study visit. (NCT01789970)
Timeframe: Final study visit (week 12 or end of treatment visit)

InterventionParticipants (Count of Participants)
Placebo (Double-blind Treatment Period)2
Hydrocodone ER (Double-blind Treatment Period)2

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Adverse Drug Events

Determine all possible adverse drug events that occurred after the study drugs were administered. (NCT01859715)
Timeframe: Duration of ED stay, <24 hours. (up to 24 hours)

Interventionparticipants (Number)
Oxycodone Group0
Hydrocodone/Acetaminophen Group0
Nausea-observational Group0

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Difference in Clinically Significant Visual Analogue Scale for Pain and Nausea Change Between CYP2D6 Users and Non-users

Clinically significant visual analogue scale (VAS; a measure of adult pain and nausea on a scale of 1-100 millimeters for increasing symptoms of pain and nausea) for patients who were administered either oxycodone, hydrocodone/acetaminophen, or ondansetron in the ED. Clinically significant change was defined as 13mm change on the VAS from baseline (when first VAS was completed) to 90 minutes following drug administration in the ED. (NCT01859715)
Timeframe: Baseline and 90 minutes

Interventionmillimeters (Mean)
Oxycodone Group7.4
Hydrocodone/Acetaminophen Group10.9
Nausea-observational Group-14.0

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Participants With Clinically Significant (CS) Hearing Changes From Baseline to the Final Visit in Pure Tone Audiometry Test Results

"Pure tone audiometry was performed by trained personnel. Hearing loss was classified in degrees of hearing from normal to profound. This classification was determined by the hearing threshold (or the softest sound detected at a specific frequency). The exact ranges that classified hearing loss depended on the exact technique used during testing and on the patient's age. These values were provided by each audiology laboratory that performed the test. For serial audiograms, the criteria for a clinically significant hearing change were based on guidance from the American Speech Language Hearing Association (ASHA 1994, cited in [Konrad-Martin et al 2005]). These criteria included the following: greater than 20 decibels (dB) pure tone threshold shift at 1 frequency; greater than 10 dB shift at 2 consecutive test frequencies; or threshold response shifting to no response at 3 consecutive test frequencies." (NCT01922739)
Timeframe: Baseline was within two weeks of the final study visit in study 3103; during study exam was within two weeks of the end of trial visit for study 3104 (up to study week 26)

InterventionParticipants (Count of Participants)
Hydrocodone ER - Opioid Naive11
Hydrocodone ER - Opioid Experienced7
Hydrocodone ER18

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Percentage of Participants Withdrawn From the Study For Lack of Efficacy

Percentage of patients who withdrew from the study for lack of efficacy, as indicated on the early termination form of the case report form (CRF). (NCT01922739)
Timeframe: Day 1 of the Titration/Adjustment Period to Week 22 of the Treatment Period (total of 25-26 weeks)

Interventionpercentage of participants (Number)
Hydrocodone ER2

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Participants With Adverse Events

An adverse event (AE) was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an inability to carry out usual activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes. (NCT01922739)
Timeframe: Day 1 of the Titration/Adjustment Period to Week 22 of the Treatment Period (total of 25-26 weeks)

,,,,
InterventionParticipants (Count of Participants)
Any AESevere AETreatment-related AEDeathsSerious AEWithdrawals from treatment due to AE
Hydrocodone ER: Double-Blind Titration Period202000
Hydrocodone ER: Open-Label Adjustment Period25210011
Hydrocodone ER: Open-Label Treatment Period8811260105
Placebo: Double-Blind Titration Period403001
Placebo: Open-Label Adjustment Period34121002

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Participants With Potentially Clinically Significant Abnormal Laboratory Values

"Data represents participants with potentially clinically significant abnormal serum chemistry, hematology and urinalysis values.~Significance criteria:~Blood urea nitrogen: >=10.71 mmol/L~Creatinine: >=177 μmol/L~Uric acid: M>=625, F>=506 μmol/L~Aspartate aminotransferase (AST): >=3* upper limit of normal (ULN)~Alkaline phosphatase: >=3* upper limit of normal (ULN)~Gamma-glutamyl transpeptidase (GGT): >=3* upper limit of normal (ULN)~Serum white blood cells: >=20 * 10^9/L~Hemoglobin: M<=115, F<=95 g/dL~Hematocrit: M<0.37, F<0.32 L/L~Eosinophils: >=10.0 %~Platelets: <=75 * 10^9/L~Absolute neutrophils: <=1.0 * 10^9/L~Urinalysis: Glucose, Ketones, and Total Protein: >=2 unit increase from baseline" (NCT01922739)
Timeframe: End of trial visit (up to week 22 of Open-label Treatment Period which is up to week 26 including the titration/adjustment period)

InterventionParticipants (Count of Participants)
Blood urea nitrogenCreatinineUric acidASTAlkaline phosphataseGGTSerum white blood cellsHemoglobinHematocritEosinophilsPlateletsAbsolute neutrophilsUrine glucoseUrine ketonesUrine total protein
Hydrocodone ER515117145111411

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Participants With Potentially Clinically Significant Abnormal Vital Signs Values

"Data represents participants with potentially clinically significant (PCS) vital sign values.~Significance criteria~Pulse - high: >=120 and increase of >= 15 beats/minute from baseline~Pulse - low: <=50 and decrease of >=15 beats/minute~Systolic blood pressure - high: >=180 and increase >=20 mmHg~Systolic blood pressure - low: <=90 and decrease >=20 mmHg~Diastolic blood pressure - high: >=105 and increase of >=15 mmHg~Diastolic blood pressure - low: <=50 and decrease of >=15 mmHg" (NCT01922739)
Timeframe: Day 1 of the Titration/Adjustment Period to Week 22 of the Treatment Period (total of 25-26 weeks)

InterventionParticipants (Count of Participants)
Pulse - highPulse - lowSystolic blood pressure - highSystolic blood pressure - lowDiastolic blood pressure - highDiastolic blood pressure - low
Hydrocodone ER111312

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Participants With Shifts From Normal to Abnormal in Physical Examination Findings

The endpoint visit or early termination visit was an abbreviated exam. Endpoint refers to the last observation carried forward. (NCT01922739)
Timeframe: End of trial visit (up to week 22 of Open-label Treatment Period which is up to week 26 including the titration/adjustment period)

InterventionParticipants (Count of Participants)
Normal at baseline - Abnormal at EndpointAbnormal findings reported as adverse events
Hydrocodone ER207

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Shifts From Baseline to Endpoint (Treatment Period) in Electrocardiogram (ECG) Findings

"A 12-lead ECG was conducted at the final visit for study 3103 which is used as baseline for this study, and at week 22 of the treatment period [or early termination]). A qualified physician at the study center was responsible for providing interpretation of the ECG.~Endpoint refers to the last observation carried forward." (NCT01922739)
Timeframe: Baseline (final visit for study 3103), End of trial visit (up to week 22 of Open-label Treatment Period which is up to week 26 including the titration/adjustment period)

,,
InterventionParticipants (Count of Participants)
Baseline normal - Endpoint normalBaseline normal - Endpoint abnormalBaseline abnormal - Endpoint normalBaseline abnormal - Endpoint abnormal
Hydrocodone ER45291964
Hydrocodone ER - Opioid Experienced1911822
Hydrocodone ER - Opioid Naive26181142

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Efficacy Comparison of Pain Intensity Level

"Subjects asked to fill out a patient diary recording their pain intensity level (on 100mm Visual Analog Scale) prior to taking study medication every 4 hours.~The daily average pain intensity levels are reported as a score on a scale of 0-100, with higher score meaning worse outcome.~The daily average pain levels were assessed daily for 1 week post-operatively, then compared between the 2 groups using a two-group Student's t-test." (NCT02029235)
Timeframe: 1 week post-operatively

,
Interventionscore on a scale (0-100, higher = worse) (Mean)
Daily average pain intensity level on PostOp Day 1Daily average pain intensity level on PostOp Day 2Daily average pain intensity level on PostOp Day 3Daily average pain intensity levelon PostOp Day 4Daily average pain intensity level on PostOp Day 5Daily average pain intensity level on PostOp Day 6Daily average pain intensity level on PostOp Day 7
Acetaminophen/Hydrocodone (AH) Group24.0730.1622.1118.5316.6113.5813.00
Acetaminophen/Ibuprofen (AIBU) Group22.1722.2215.6713.1714.0313.4412.67

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Efficacy Comparison of Pain Relief

"Subjects asked to fill out a patient diary recording their pain relief (on a Likert scale) one hour after taking study medication every 4 hours.~Daily average pain relief scores are reported as a score on a scale of 0-3, with higher score meaning better outcome.~The daily average pain relief scores were assessed daily for 1 week post-operatively, then compared using generalized linear mixed-effects models" (NCT02029235)
Timeframe: 1 week postoperatively

,
Interventionscore on a scale (0-3, higher = better) (Mean)
Daily average pain relief on PostOp Day 1Daily average pain relief on PostOp Day 2Daily average pain relief on PostOp Day 3Daily average pain relief on PostOp Day 4Daily average pain relief on PostOp Day 5Daily average pain relief on PostOp Day 6Daily average pain relief on PostOp Day 7
Acetaminophen/Hydrocodone (AH) Group1.531.762.332.462.542.842.88
Acetaminophen/Ibuprofen (AIBU) Group1.842.272.632.912.882.872.96

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Total Hydrocodone Dose (mg/kg)

(NCT02236130)
Timeframe: day 2 and day 8 after the surgery

,
Interventionmg/kg (Mean)
Day 2 Total hydrocodone use in mg/kgDay 8 Total hydrocodone use in mg/kg
General1.221.45
Regional1.362.15

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Patient/Family Satisfaction With Pain Management

Patient/family satisfaction on a scale of 1 to 10 with 1 least satisfied and 10 completely satisfied. Family will complete the form and return to the primary investigator at the end of day 8 after surgery in the prepaid envelope provided to them at the time of the surgery. (NCT02236130)
Timeframe: one week after the surgery

InterventionParticipants (Count of Participants)
General10
Regional11

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Number of Participants With Post-operative Bleeding

The occurrence of post-operative bleeding at the surgical site for each participant will be assessed by review of the participant's study records and clinical records and by questioning the caregiver in follow-up. If postoperative bleeding has occurred, details of the episode of bleeding will also be obtained (requirement for surgical intervention, observation at home, or observation at the hospital). (NCT02296840)
Timeframe: 2 weeks after surgery

InterventionParticipants (Count of Participants)
Ibuprofen2
Hydrocodone-acetaminophen0

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Faces Pain Score

Using the Faces Pain Scale, the pediatric patient will indicate his/her pain level at scheduled intervals (7 times per day) for 14 days post-surgery.The Faces Pain Scale Revised is a dimensionless 10 point likert scale used to assess self-reported pain intensity on a scale from 0 (no pain) to 10 (most pain you can imagine). Greater pain scores are indicative of more severe pain. For this analysis, participant pain scores were summed and the mean per group was calculated. Total summed scores could range from 0 to 980. (NCT02296840)
Timeframe: 2 weeks after surgery

Interventionunits on a scale (Mean)
Ibuprofen158.95
Hydrocodone-acetaminophen219.94

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Between Group Difference in Change in Numerical Rating Scale (NRS) Pain Scores

Change in numerical rating scale (NRS) pre and 2 hours post receiving study medication while in the ED. The NRS is a validated 11-point numerical scale that ranges from 0 (no pain) to 10 (worst pain possible) (NCT02455518)
Timeframe: 2 hours

Interventionunits on a scale (Number)
Oxycodone/Acetaminophen4.4
Hydrocodone/Acetaminophen3.5
Codeine/Acetaminophen3.9
Ibuprofen/Acetaminophen4.3

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Between Group Difference in Change in Numerical Rating Scale (NRS) Pain Scores

Change in numerical rating scale (NRS) pre and 1-hour post receiving study medication while in the ED. The NRS is a validated 11-point numerical scale that ranges from 0 (no pain) to 10 (worst pain possible) (NCT02455518)
Timeframe: 1 hour

Interventionunits on a scale (Number)
Oxycodone/Acetaminophen3.1
Hydrocodone/Acetaminophen2.4
Codeine/Acetaminophen2.7
Ibuprofen/Acetaminophen2.9

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Change in Pain Associated With Radiation-induced Mucositis, (Pain Subscale of the Vanderbilt Head and Neck Symptom Survey (VHNSS))

The pain subscale is composed of 4 items of the Vanderbilt Head and Neck Symptom Survey. The subscale score was calculated by taking the first non-negative principle component of the 4 items. The scale was scores range from 0 to 10 with 10 representing the worst pain. (NCT02480114)
Timeframe: Up to 3 months post-treatment

Interventionscore on a scale (Median)
Arm I Standard of Care4.26
Arm II Standard of Care Plus Gabapentin3.68

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Frequency and Severity of General Systemic Symptoms (Surveys Such as the Neurotoxicity Scale, Profile of Mood States, and Quality of Life Form)

Pain severity will be correlated with frequency and severity of general systemic symptoms. Graphical and descriptive statistical summaries will be generated. Mixed-level general linear modeling will be used. All tests of statistical significance will maintain maximum Type I error of 0.05 (p < 0.05). Baseline pain scores will be included as a covariate in the analyses of the outcome. The General Symptom Survey is a ten item patient reported outcome measure and outcomes were averaged as there is only one item per symptom category. 0 represented no presence of the symptom with a score of 10 representing the most severe symptom. (NCT02480114)
Timeframe: Up to 3 months post-treatment

Interventionscore on a scale (Median)
Arm I Standard of Care1.91
Arm II Standard of Care Plus Gabapentin1.23

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Number of Participants With Grade 3 or 4 Adverse Events, (Graded Using Common Terminology Criteria for Adverse Events Criteria 4.0)

Graphical and descriptive statistical summaries will be generated. Mixed-level general linear modeling will be used. All tests of statistical significance will maintain maximum Type I error of 0.05 (p < 0.05). Frequency distributions will summarize the safety outcome. (NCT02480114)
Timeframe: Up to 3 months post-treatment

InterventionParticipants (Count of Participants)
Arm I Standard of Care0
Arm II Standard of Care Plus Gabapentin0

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Number of Participants With a 30% Reduction in Pain Intensity Measured Using NPRS-11 Scores

Number of participants with a 30% reduction in NPRS-11 scores was reported at 6, 12, 24, and 48 hours after the first dose of study drug. (NCT02487108)
Timeframe: 2, 4, 6, 12, 24, and 48 hours

,,,
InterventionParticipants (Count of Participants)
2 hours4 hours6 hours12 hours24 hours48 hours
Placebo413932386786
TV-46763 10.0 mg/325 mg8360667691100
TV-46763 5.0 mg/325 mg714456558396
TV-46763 7.5 mg/325 mg764151548092

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Number of Participants With a 50% Reduction in Pain Intensity Measured Using NPRS-11 Scores

Number of participants with a 50% reduction in NPRS-11 scores was reported at 6, 12, 24, and 48 hours after the first dose of study drug. (NCT02487108)
Timeframe: 2, 4, 6, 12, 24, and 48 hours

,,,
InterventionParticipants (Count of Participants)
2 hours4 hours6 hours12 hours24 hours48 hours
Placebo272018224673
TV-46763 10.0 mg/325 mg634045527590
TV-46763 5.0 mg/325 mg522940336675
TV-46763 7.5 mg/325 mg632839316379

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Pain Intensity Difference (PID) Scores

The PID was based on the NPRS-11, which is an 11-point Likert-type scale in which 0 means no pain and 10 means the most intense pain imaginable. PID was calculated at 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, and 6 hours after the first dose of study drug. LS mean was calculated using ANCOVA with treatment and center as factors and the baseline pain intensity score as a covariate. Multiple imputation method was used to handle missing data. (NCT02487108)
Timeframe: 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, and 6 hours

,,,
Interventionunits on a scale (Least Squares Mean)
0.25 hour0.5 hour0.75 hour1 hour1.5 hours2 hours3 hours4 hours5 hours6 hours
Placebo0.10.50.60.70.80.81.00.70.60.4
TV-46763 10.0 mg/325 mg0.00.51.11.52.02.11.71.31.61.7
TV-46763 5.0 mg/325 mg0.20.50.91.41.61.91.81.31.41.3
TV-46763 7.5 mg/325 mg0.10.81.41.82.22.21.71.01.21.3

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Total Rescue Medication Use (Number of Tablets Used)

Total rescue medication (oral nonprescription ibuprofen) use (number of tablets used) over 6, 12, 24, and 48 hours after the first dose of study drug was calculated. (NCT02487108)
Timeframe: 6, 12, 24, and 48 hours

,,,
Interventiontablets (Least Squares Mean)
Total rescue medication use over 6 hoursTotal rescue medication use over 12 hoursTotal rescue medication use over 24 hoursTotal rescue medication use over 48 hours
Placebo1.22.03.04.4
TV-46763 10.0 mg/325 mg0.61.11.62.1
TV-46763 5.0 mg/325 mg0.81.42.12.9
TV-46763 7.5 mg/325 mg0.71.41.92.6

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SPID Scores Over the Intervals During the First 36 Hours Following the First Dose of Study Drug

The SPID was calculated as the time-weighted sum of PID at each time point over the intervals during the first 36 hours. The SPID was based on the NPRS-11, which is an 11-point Likert-type scale in which 0 means no pain and 10 means the most intense pain imaginable. LS mean was calculated using ANCOVA with treatment and center as factors and the baseline pain intensity score as a covariate. Multiple imputation method was used to handle missing data. (NCT02487108)
Timeframe: 0 to 6, 0 to 12, 0 to 24, and 0 to 36 hours

,,,
Interventionunits on a scale (Least Squares Mean)
SPID 0-6SPID 0-12SPID 0-24SPID 0-36
Placebo3.76.421.144.2
TV-46763 10.0 mg/325 mg9.119.150.988.2
TV-46763 5.0 mg/325 mg8.315.843.978.2
TV-46763 7.5 mg/325 mg8.316.544.581.1

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Number of Participants With Adverse Events (AEs)

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both SAEs and non-serious AEs. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'. (NCT02487108)
Timeframe: Day 1 up to Day 13

InterventionParticipants (Count of Participants)
Placebo56
TV-46763 5.0 mg/325 mg79
TV-46763 7.5 mg/325 mg87
TV-46763 10.0 mg/325 mg106

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Summed Pain Intensity Difference (SPID) Score Calculated Over the First 48 Hours (SPID48) After the First Dose of Study Drug on an 11-Point Numerical Pain Rating Scale (NPRS-11)

The SPID48 was calculated as the time-weighted sum of pain intensity difference (PID) at each time point over 48 hours. The SPID48 was based on the NPRS-11, which is an 11-point Likert-type scale in which 0 means no pain and 10 means the most intense pain imaginable. Least square (LS) mean was calculated using an analysis of covariance (ANCOVA) with treatment and center as factors and the baseline pain intensity score as a covariate. Multiple imputation method was used to handle missing data. (NCT02487108)
Timeframe: 48 hours

Interventionunits on a scale (Least Squares Mean)
Placebo76.5
TV-46763 5.0 mg/325 mg115.4
TV-46763 7.5 mg/325 mg120.5
TV-46763 10.0 mg/325 mg129.9

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Time to Onset of Meaningful Pain Relief (MPR)

Time to meaningful pain relief (MPR) after the first dose of study drug was calculated using the stopwatch technique. The MPR stopwatch was started immediately after administration of the first dose of study drug (time zero [T0]). The stopwatch was given to the participant with the instructions to stop the stopwatch when he or she first experienced meaningful pain relief (time to meaningful relief). Kaplan-Meier method was used to calculate the data. (NCT02487108)
Timeframe: Day 1

Interventionhour (Median)
PlaceboNA
TV-46763 5.0 mg/325 mg1.9
TV-46763 7.5 mg/325 mg1.3
TV-46763 10.0 mg/325 mg1.8

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Time to Onset of Perceptible Pain Relief (PPR)

Time to perceptible pain relief (PPR) (i.e., onset of pain relief) after the first dose of study drug was calculated using the stopwatch technique. The PPR stopwatch was started immediately after administration of the first dose of study drug (time zero [T0]) and it was given to the participant with the instructions to stop the stopwatch when he or she first perceived pain relief (time to perceptible relief). Kaplan-Meier method was used to calculate the data. (NCT02487108)
Timeframe: Day 1

Interventionhour (Median)
Placebo0.8
TV-46763 5.0 mg/325 mg0.5
TV-46763 7.5 mg/325 mg0.5
TV-46763 10.0 mg/325 mg0.6

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Time to Peak PID

Time to peak PID after the first dose of study drug but before the second dose of study drug was calculated. Kaplan-Meier method was used to calculate the data. Multiple imputation method was used to handle missing pain intensity scores at scheduled time points. (NCT02487108)
Timeframe: Within 6 hours

Interventionhours (Median)
Placebo3.0
TV-46763 5.0 mg/325 mg2.0
TV-46763 7.5 mg/325 mg1.53
TV-46763 10.0 mg/325 mg2.0

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Number of Participants Taking Rescue Medication

Number of participants taking rescue medication (oral nonprescription ibuprofen) over 6, 12, 24, and 48 hours after the first dose of study drug were calculated. (NCT02487108)
Timeframe: 6, 12, 24, and 48 hours

,,,
InterventionParticipants (Count of Participants)
Rescue medication use over 6 hoursRescue medication use over 12 hoursRescue medication use over 24 hoursRescue medication use over 48 hours
Placebo101124132132
TV-46763 10.0 mg/325 mg62849399
TV-46763 5.0 mg/325 mg7696101106
TV-46763 7.5 mg/325 mg7498107110

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Time to Discharge From the Postanesthesia Care Unit (PACU)

This is the number of minutes from admission to the PACU until discharge, assessed up to 2 days (NCT02625181)
Timeframe: A specific time frame on the day of surgery: from the start of admission to the PACU to discharge from the PACU

Interventionminutes (Mean)
Baseline Measurement266
CDS Email Recommendations264
CDS Email + Real TIme Recommenations266

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PONV Incidence: Number of Participants With Postoperative Nausea and Vomiting

The occurrence of PONV, as defined by the administration of antiemetics in the PACU between admission to PACU and discharge from PACU. (NCT02625181)
Timeframe: PACU recovery period

InterventionParticipants (Count of Participants)
Baseline Measurement139
CDS Email Recommendations1323
CDS Email + Real TIme Recommenations1343

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Adherence to PONV Guidelines

PONV guideline adherence: percentage of patients who received the exact number of prophylactic interventions for PONV that were recommended by the decision support. (NCT02625181)
Timeframe: A specific time frame on the day of surgery: the start of admission at the holding room to the end of the anesthetic case

InterventionParticipants (Count of Participants)
Baseline Measurement666
CDS Email Recommendations5260
CDS Email + Real TIme Recommenations5863

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The Number of Prophylactic Interventions for PONV

the absolute number of prophylactic interventions applied between the admission of the patient in the holding room until admission to the PACU. (NCT02625181)
Timeframe: A specific time frame on the day of surgery: from the start of admission at the holding room to the end of the anesthetic case

Interventionprophylactic antiemetics administered (Mean)
Baseline Measurement2.196
CDS Email Recommendations2.176
CDS Email + Real TIme Recommenations2.129

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The Effect of Liposomal Bupivacaine on Average Postoperative Pain Levels on Postoperative Day 1.

Postoperative pain levels were determined with a numeric rating scale (NRS), rating pain from 0 - 10, where 0 = no pain, 10 = worst possible pain. Higher scores indicate a worse outcome. Pain levels were determined during routine vital signs every 4 hours post-operatively. (NCT02659501)
Timeframe: Average Pain Scores 24 hours Post-Operatively

Interventionscore on a scale (Mean)
Bupivacaine With Epinephrine Injections3.66
Liposomal Bupivacaine3.68

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The Effect of Liposomal Bupivacaine on Length of Hospital Stay

Length of hospital stay will be determined for patients in each group, in total hours. (NCT02659501)
Timeframe: 24-60 hours

Interventionhrs (Mean)
Bupivacaine With Epinephrine Injections46.7
Liposomal Bupivacaine29.8

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The Effect of Liposomal Bupivacaine on Postoperative Diazepam Consumption

Benzodiazepine consumption, in mg of diazepam, was recorded for all patients and compared over the first 24 hours post-operatively. (NCT02659501)
Timeframe: 24 hours

Interventionmg of diazepam/hr (Mean)
Bupivacaine With Epinephrine Injections0.35
Liposomal Bupivacaine0.18

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The Effect of Liposomal Bupivacaine on Postoperative Opioid Consumption

Postoperative opioid consumption will be determined in each group. Opioid consumption post-operatively will be determined for patients in each group in standardized units of morphine milligram dosing equivalents per hour. (NCT02659501)
Timeframe: 24 hours

InterventionMorphine equivalent dosage per hour (Mean)
Bupivacaine With Epinephrine Injections1.31
Liposomal Bupivacaine.76

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The Effect of Liposomal Bupivacaine on Antiemetic Consumption

The effect of liposomal bupivacaine on antiemetic consumption was assessed in mg of ondansetron consumed over first 24 hours post-operatively. (NCT02659501)
Timeframe: 24 hours

Interventionmg of ondansetron (Mean)
Bupivacaine With Epinephrine Injections7.33
Liposomal Bupivacaine5.75

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Change in Pain From Before Medication Administered (Baseline) to Two Hour Post-baseline

Pain intensity measured by 11-point Numerical Rating Scale (NRS) of Pain 0 = no pain 10=worst possible pain. Change is calculated as Numerical Rating Scale before medication is administered (denoted as baseline) minus NRS 2- hours past baseline. Higher numbers indicate better outcomes. (NCT03173456)
Timeframe: Prior to ingestion of study medication to 2 hours after ingestion of the study medication

Interventionunits on a scale (Mean)
400 Ibuprofen/APAP4.3
800 Ibuprofen/APAP4.6
Codeine/APAP4.4
Hydrocodone/APAP4.5
Oxycodone/APAP4.7

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Percentage of Patients Who Experience Side Effects Within One Hour of Ingestion of Study Medication

Number of patients who experience side effects within one hour ofr ingestion of study medication divided by total number of patients x 100 (NCT03173456)
Timeframe: From time of ingestion of study medication to one hour later

InterventionParticipants (Count of Participants)
400 Ibuprofen/APAP26
800 Ibuprofen/APAP37
Codeine/APAP33
Hydrocodone/APAP34
Oxycodone/APAP37

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Change in Pain From Before Medication Administered (Baseline) to One-hour Post-baseline

Pain intensity measured by 11-point Numerical Rating Scale (NRS) of Pain 0 = no pain 10 = worse possible pain. Change calculated as NRS before medication administered (denoted as baseline) minus NRS 1-hour post-baseline. Higher scores mean more change which is the better outcome. (NCT03173456)
Timeframe: Prior to Ingestion of study medication to one hour after ingestion of the study medication

InterventionUnits on a scale (Mean)
400 Ibuprofen/APAP3.0
800 Ibuprofen/APAP3.0
Codeine/APAP3.4
Hydrocodone/APAP3.1
Oxycodone/APAP3.3

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Percentage of Patients Who Would Choose to Take the Study Medication Again if They Returned to the ED With Similar Pain

Number of patients who would choose to take study medication again divided by number of patients x 100. Question asked at end of two-hour time period (NCT03173456)
Timeframe: End of two-hour time period

InterventionParticipants (Count of Participants)
400 Ibuprofen/APAP78
800 Ibuprofen/APAP83
Codeine/APAP75
Hydrocodone/APAP89
Oxycodone/APAP81

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Percentage of Patients Who Received Rescue Medication

Number of patients who received additional analgesics divided by total number of patients x 100 (NCT03173456)
Timeframe: Entire two-hour time period

InterventionParticipants (Count of Participants)
400 Ibuprofen/APAP29
800 Ibuprofen/APAP28
Codeine/APAP26
Hydrocodone/APAP27
Oxycodone/APAP28

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Percentage of Patients Who Experience Side Effects in Two Hours After Ingestion of Study Medication

Number of patients who experience side effects in two hours after ingestion of study medication divided by total number of patients x 100 (NCT03173456)
Timeframe: From time of ingestion of study medication to two hours later

InterventionParticipants (Count of Participants)
400 Ibuprofen/APAP31
800 Ibuprofen/APAP44
Codeine/APAP40
Hydrocodone/APAP51
Oxycodone/APAP49

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Patient Pain Level

The average reported pain score using the Numeric Rating Scale (0-10) with 0 representing no pain and 10 as worse imaginable pain. (NCT03404518)
Timeframe: Average reported pain for first 7 days after surgery

InterventionScores on a scale (Mean)
Norco and Ibuprofen3.5
Ibuprofen and Norco2.8

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Narcotic Usage

The average number of narcotic pills needed or used for pain control (NCT03404518)
Timeframe: First 7 days after surgery

InterventionPills (Mean)
Norco and Ibuprofen4.9
Ibuprofen and Norco2.0

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Ibuprofen Usage

The average number of ibuprofen pills needed or used for pain control (NCT03404518)
Timeframe: First 7 days after surgery

Interventionpills (Mean)
Norco and Ibuprofen4.5
Ibuprofen and Norco7.7

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SDLP

"Standard Deviation of Lane Position~Standard deviation of lane position was analyzed using the SAS GLM function to identify changes in driver performance. Values represents means across the driving environments studied." (NCT03447353)
Timeframe: over course of each simulator drive, approximately 35 minutes per visit

Interventioncentimeters (Mean)
"Sober or Double Placebo"35.2
Active Xanax, Active Norco49.8
Active Xanax, Placebo Norco50.0
Placebo Xanax, Active Norco33.5

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Lane Departures

"Total number of lane departures per drive~The total number of lane departures across the drive were analyzed using the SAS GLM procedure." (NCT03447353)
Timeframe: over course of each simulator drive, approximately 35 minutes per visit

Interventioncount (Mean)
"Sober or Double Placebo"23.8
Active Xanax, Active Norco72.0
Active Xanax, Placebo Norco64.4
Placebo Xanax, Active Norco22.3

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Pain Score as Assessed by a 100mm Visual Analogue Scale (VAS)

The range of scores on the VAS is 0 to 100, with 100 being the highest level of pain. (NCT03605914)
Timeframe: 24 hours (day 1 after operation)

Interventionunits on a scale (Mean)
NSAID30.2
Opioid40.7

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Pain Score as Assessed by a 100mm Visual Analogue Scale (VAS)

The range of scores on the VAS is 0 to 100, with 100 being the highest level of pain. (NCT03605914)
Timeframe: 120 hours (day 5 after operation)

Interventionunits on a scale (Mean)
NSAID17.2
Opioid18.9

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Number of Participants With Bleeding Complications

Bleeding complications are defined as complications necessitating a trip to the emergency room or requiring intervention for epistaxis. (NCT03605914)
Timeframe: 5 days after operation

InterventionParticipants (Count of Participants)
NSAID0
Opioid0

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Pain Score as Assessed by a 100mm Visual Analogue Scale (VAS)

The range of scores on the VAS is 0 to 100, with 100 being the highest level of pain. (NCT03605914)
Timeframe: 48 hours (day 2 after operation)

Interventionunits on a scale (Mean)
NSAID24.2
Opioid28.3

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Pain Score as Assessed by a 100mm Visual Analogue Scale (VAS)

The range of scores on the VAS is 0 to 100, with 100 being the highest level of pain. (NCT03605914)
Timeframe: 72 hours (day 3 after operation)

Interventionunits on a scale (Mean)
NSAID22.9
Opioid27.9

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Number of Adverse Events(AEs) Experienced by Participants

"Intensity was determined by the Investigator. For symptomatic AEs the following definitions were applied.~Mild = AE did not limit usual activities; subject may have experienced slight discomfort.~Moderate = AE resulted in some limitation of usual activities; subject may have experienced significant discomfort.~Severe = AE resulted in an inability to carry out usual activities; subject may have experienced intolerable discomfort/ pain.~Relationship to Investigational Medicinal Products (IMP) Unlikely = Slight, but remote, chance that AE was caused by IMP. Possible = Reasonable suspicion that the AE was caused by IMP. Probable = Most likely that AE was caused by IMP." (NCT03642873)
Timeframe: Upto Day 17

,,
InterventionEvents (Number)
TEAE by severity: MildTEAE by severity: ModerateTEAE by severity: SevereRelationship to IMP - UnlikelyRelationship to IMP - PossibleRelationship to IMP - Probable
Treatment A700430
Treatment B1210085
Treatment C25001816

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Time to Maximum Observed Concentration (Tmax) of Guaifenesin

Pharmacokinetic Parameter (Tmax) Time of the maximum measured plasma concentration. (NCT03642873)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose

Interventionhr (Mean)
Treatment A (Reference) - Plasma Guaifenesin1.08
Treatment C (Test) - Plasma Guaifenesin1.04
Treatments B (Reference) - Plasma Hydrocodone Bitartrate9.59
Treatment C (Test) - Plasma Hydrocodone Bitartrate9.33

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Maximum Observed Plasma Concentration (Cmax) of Guaifenesin

Pharmacokinetic Parameter Cmax (Maximum measured plasma concentration) (NCT03642873)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose

Interventionng/mL (Mean)
Treatment A (Reference) - Plasma Guaifenesin1770
Treatment C (Test) - Plasma Guaifenesin1810
Treatments B (Reference) - Plasma Hydrocodone Bitartrate11.3
Treatment C (Test) - Plasma Hydrocodone Bitartrate11.3

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Area Under Plasma Concentration-time Curve From Time 0 to Infinity (AUC(0-inf)) of Guaifenesin

The area under the plasma concentration versus time curve from time 0 to infinity, calculated as AUC(0-t) + Ct/ Kel, where Ct is the last measurable concentration. (NCT03642873)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose

Interventionng*hr/mL (Mean)
Treatment A (Reference) - Plasma Guaifenesin8501.5
Treatment C (Test) - Plasma Guaifenesin8347.8
Treatments B (Reference) - Plasma Hydrocodone Bitartrate140.44
Treatment C (Test) - Plasma Hydrocodone Bitartrate139.70

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Area Under Plasma Concentration-time Curve From Time 0 to the Last Measurable Concentration (AUC(0-t)) of Guaifenesin

Pharmacokinetic Parameter AUC(0-t) The area under the plasma concentration versus time curve from time 0 to time of the last measurable concentration. (NCT03642873)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose

Interventionng*hr/mL (Mean)
Treatment A (Reference) - Plasma Guaifenesin8286.2
Treatment C (Test) - Plasma Guaifenesin8186.7
Treatments B (Reference) - Plasma Hydrocodone Bitartrate133.36
Treatment C (Test) - Plasma Hydrocodone Bitartrate132.99

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Apparent Terminal Elimination Half-life (T1/2) of Guaifenesin

Apparent first-order terminal elimination half-life was calculated as 0.693/Kel. (NCT03642873)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose

Interventionhr (Mean)
Treatment A (Reference) - Plasma Guaifenesin4.82
Treatment C (Test) - Plasma Guaifenesin5.34
Treatments B (Reference) - Plasma Hydrocodone Bitartrate4.71
Treatment C (Test) - Plasma Hydrocodone Bitartrate4.60

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Apparent Terminal Elimination Rate Constant (Kel) of Guaifenesin

Apparent first-order terminal elimination rate constant calculated from a semi-log plot of the plasma concentration versus time curve. The parameter was calculated by linear least-squares regression analysis using the maximum number of points in the terminal log-linear phase. (NCT03642873)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose

Intervention1/hr (Mean)
Treatment A (Reference) - Plasma Guaifenesin0.205
Treatment C (Test) - Plasma Guaifenesin0.207
Treatments B (Reference) - Plasma Hydrocodone Bitartrate0.151
Treatment C (Test) - Plasma Hydrocodone Bitartrate0.155

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Percentage of Participants With OINV Over 48 Hours

Number and Percentage of participants With opioid-induced nausea and vomiting (OINV) who experienced any Vomiting / use of Anti-Emetic Medication Over 48 Hours (NCT03657810)
Timeframe: Up to 48 hours

InterventionParticipants (Count of Participants)
CL-1088
Norco31
Placebo4

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Number of Doses of Study Medication Taken Over Days 3to7

Number of doses of study medication taken over Days 3 to 7 (NCT03657810)
Timeframe: Day3 to Day7

Interventiondoses (Mean)
CL-10810.0
Norco8.4
Placebo6.2

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Percentage of Patients With Any Nausea or Vomiting Over 48 Hours

Percentage of patients with any nausea or vomiting over 48 hours, comparing CL-108 5 mg to hydrocodone 5 mg/APAP 325 mg (NCT03657810)
Timeframe: Up to 48 hours

InterventionParticipants (Count of Participants)
CL-10837
Norco55
Placebo16

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Number of Doses of Study Medication Taken Per Day Over Days 3to7

Number of doses of study medication taken per day over Days 3 to 7 (NCT03657810)
Timeframe: Day3 to Day7

,,
Interventiondoses per day (Mean)
Number of Doses of Study Medication Taken over Day 3Number of Doses of Study Medication Taken over Day 4Number of Doses of Study Medication Taken over Day 5Number of Doses of Study Medication Taken over Day 6Number of Doses of Study Medication Taken over Day 7
CL-1083.02.11.91.81.1
Norco2.41.91.71.50.9
Placebo2.11.41.11.00.6

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The Sum of Pain Intensity Differences (on PI-NRS) Over 48 Hours (SPID48)

"The SPID48 endpoint is calculated from the PI-NRS values at baseline, every 30 minutes until hour 12, then every hour (when awake) until hour 48 as follows:~Each subsequent PI-NRS value is subtracted from the baseline PI-NRS value.~Each difference is weighted by the elapsed time from the previous PI-NRS value to the current one.~The weighed differences are summed to yield the SPID48.~Summed pain intensity differences over 48 hours (SPID48) will be compared for patients treated with CL-108 5 mg and those treated with placebo. Pain intensity will be measured on a 0-10 Pain Intensity Numerical Rating Scale (PI-NRS), where 0 is no pain and 10 is severe pain." (NCT03657810)
Timeframe: Up to 48 hours

Interventionscore on a scale (Mean)
CL-108108.5
Norco94.8
Placebo78.7

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Percentage of Patients With Any Nausea Over 48 Hours

Percentage of patients with any nausea over 48 hours, comparing CL-108 5 mg to hydrocodone 5 mg/APAP 325 mg (NCT03657810)
Timeframe: Up to 48 hours

InterventionParticipants (Count of Participants)
CL-10836
Norco55
Placebo15

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Percentage of Patients With Complete Absence of OINV (no Nausea, no Vomiting, and no Use of Anti-emetic Medication) Over 48 Hours

Percentage of patients with complete absence of OINV (no nausea, no vomiting, and no use of anti-emetic medication) over 48 hours comparing CL-108 5 mg to hydrocodone 5 mg/APAP 325 mg) (NCT03657810)
Timeframe: Up to 48 hours

InterventionParticipants (Count of Participants)
CL-10850
Norco34
Placebo27

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Percentage of Patients With Any Vomiting Over 48 Hours

Percentage of patients with any vomiting over 48 hours, comparing CL-108 5 mg to hydrocodone 5 mg/APAP 325 mg (NCT03657810)
Timeframe: Up to 48 hours

InterventionParticipants (Count of Participants)
CL-1083
Norco19
Placebo2

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Percentage of Patients With Any Post-discharge Nausea and Vomiting (PDNV)

Percentage of patients with any Post-discharge Nausea and Vomiting (PDNV) over Days 3 to 7 (NCT03657810)
Timeframe: Day 3 to 7

InterventionParticipants (Count of Participants)
CL-1089
Norco12
Placebo6

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Participant's Global Evaluation of Study Medication OR Overall Impression of Study Medication According to Participant's Global Evaluation

Participants were asked to rate their overall impression of the study medication using the following scale: poor (0), fair (1), good (2), very good (3), and excellent (4) where higher score represented better outcome. (NCT03879408)
Timeframe: Up to 12 hours

InterventionUnits on a Scale (Least Squares Mean)
Arm 1: Placebo0.8
Arm 2: Naproxen Sodium 440 mg2.7
Arm 3: Naproxen Sodium 220 mg + Acetaminophen 650 mg2.9
Arm 4: Naproxen Sodium 440 mg + Acetaminophen 1000 mg3.3
Arm 5: Hydrocodone 10 mg + Acetaminophen 650 mg2.7

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Time-weighted Sum of Pain Intensity Difference Score From Baseline (0 Hour) to 12 Hours (SPID 0-12)

Time-weighted sum of the pain intensity difference score was measured using a PI-NRS ranging from 0-10 (0 = no pain, 10 = very severe pain). The possible range of SPID for 0-12 hours was from -120 to 120. A higher value of SPID indicated greater pain relief. PID was the difference between baseline pain intensity and pain intensity at assessment (12 hours). Time-weighted sum of the pain intensity difference scores were derived by first multiplying each PID score by the time from the previous time point and adding these time-weighted PID scores together over the intervals from 0 to 12 hours. (NCT03879408)
Timeframe: Baseline (0 hour) up to 12 hours post-dose

InterventionUnits on a scale (Least Squares Mean)
Arm 1: Placebo5.80
Arm 2: Naproxen Sodium 440 mg50.07
Arm 3: Naproxen Sodium 220 mg + Acetaminophen 650 mg55.47
Arm 4: Naproxen Sodium 440 mg + Acetaminophen 1000 mg66.43
Arm 5: Hydrocodone 10 mg + Acetaminophen 650 mg39.94

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Time-Weighted Sum of Pain Intensity Difference Score From Baseline (0 Hour) to 6 Hours (SPID 0-6)

Time-weighted sum of the pain intensity difference (SPID) score was measured using a Pain Intensity-Numerical Rating Scale (PI-NRS) ranging from 0-10 (0 = no pain, 10 = very severe pain). The possible range of SPID for 0-6 hours was from -60 to 60. A higher value of SPID indicated greater pain relief. PID was the difference between baseline pain intensity and pain intensity at assessment. Time-weighted sum of the pain intensity difference scores were derived by first multiplying each PID score by the time from the previous time point and adding these time-weighted PID scores together over the intervals from 0 to 6 hours. (NCT03879408)
Timeframe: Baseline (0 hour) up to 6 hours post-dose

InterventionUnits on a scale (Least Squares Mean)
Arm 1: Placebo2.36
Arm 2: Naproxen Sodium 440 mg25.59
Arm 3: Naproxen Sodium 220 mg + Acetaminophen 650 mg30.28
Arm 4: Naproxen Sodium 440 mg + Acetaminophen 1000 mg33.77
Arm 5: Hydrocodone 10 mg + Acetaminophen 650 mg23.60

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Time-Weighted Sum of Pain Intensity Difference Score From Baseline (0 Hour) to 8 Hours (SPID 0-8)

Time-weighted sum of the pain intensity difference score was measured using a PI-NRS ranging from 0-10 (0 = no pain, 10 = very severe pain). The possible range of SPID for 0-8 hours was from -80 to 80. A higher value of SPID indicated greater pain relief. PID was the difference between baseline pain intensity and pain intensity at assessment (8 hours). Time-weighted sum of the pain intensity difference scores were derived by first multiplying each PID score by the time from the previous time point and adding these time-weighted PID scores together over the intervals from 0 to 8 hours. (NCT03879408)
Timeframe: Baseline (0 hour) up to 8 hours post-dose

InterventionUnits on a scale (Least Squares Mean)
Arm 1: Placebo3.24
Arm 2: Naproxen Sodium 440 mg34.11
Arm 3: Naproxen Sodium 220 mg + Acetaminophen 650 mg39.98
Arm 4: Naproxen Sodium 440 mg + Acetaminophen 1000 mg45.27
Arm 5: Hydrocodone 10 mg + Acetaminophen 650 mg29.58

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Time-Weighted Sum of Total Pain Relief Score From Baseline (0 Hour) to 6 Hours (TOTPAR 0-6)

Time-weighted total pain relief (TOTPAR) was measured using a Pain Relief Numerical Rating Scale (PR-NRS) ranging from 0-10 (0 = no relief, 10 = complete relief). Total pain relief scores (TOTPARs) were calculated by multiplying the pain relief score at each postdose time point by the duration (in hours) since the preceding time point and then summing these values. The minimum value was 0, and the maximum value was 60. Higher scores was indicative of more pain relief. (NCT03879408)
Timeframe: Baseline (0 hour) up to 6 hours post-dose

InterventionUnits on a scale (Least Squares Mean)
Arm 1: Placebo7.96
Arm 2: Naproxen Sodium 440 mg35.20
Arm 3: Naproxen Sodium 220 mg + Acetaminophen 650 mg40.94
Arm 4: Naproxen Sodium 440 mg + Acetaminophen 1000 mg45.13
Arm 5: Hydrocodone 10 mg + Acetaminophen 650 mg32.88

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Time-Weighted Sum of Total Pain Relief Score From Baseline (0 Hour) to 8 Hours (TOTPAR 0-8)

TOTPAR was measured using a PR-NRS ranging from 0-10 (0 = no relief, 10 = complete relief). Total pain relief scores (TOTPARs) were calculated by multiplying the pain relief score at each postdose time point by the duration (in hours) since the preceding time point and then summing these values. The minimum value was 0, and the maximum value was 80. Higher scores was indicative of more pain relief. (NCT03879408)
Timeframe: Baseline (0 hour) up to 8 hours post-dose

InterventionUnits on a scale (Least Squares Mean)
Arm 1: Placebo11.12
Arm 2: Naproxen Sodium 440 mg47.19
Arm 3: Naproxen Sodium 220 mg + Acetaminophen 650 mg54.37
Arm 4: Naproxen Sodium 440 mg + Acetaminophen 1000 mg60.78
Arm 5: Hydrocodone 10 mg + Acetaminophen 650 mg41.61

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Pain Intensity Difference (PID) Scores at Individual Time Points

Pain Intensity was self-reported over 12 hours, using a pain rating of 0-10 on the PI-NRS, with score ranged from 0-10 (0= no pain; 10 = worst imaginable pain). Pain intensity differences were calculated with respect to baseline at each time point after study drug administration. (NCT03879408)
Timeframe: 0.25 hours, 0.5 hours, 0.75 hours, 1 hours, 1.25 hours, 1.5 hours, 2 hours, 3 hours, 4 hours, 5 hours, 6 hours, 7 hours, 8 hours, 9 hours, 10 hours, 11 hours, and 12 hours

,,,,
InterventionUnits on a scale (Least Squares Mean)
0.25 hours0.5 Hours0.75 Hours1 Hours1.25 Hours1.5 Hours2 Hours3 Hours4 Hours5 Hours6 Hours7 Hours8 Hours9 Hours10 Hours11 Hours12 Hours
Arm 1: Placebo0.250.070.240.450.340.310.220.340.530.500.470.400.480.530.640.690.71
Arm 2: Naproxen Sodium 440 mg0.581.823.153.974.504.724.874.754.634.594.504.364.174.044.013.993.91
Arm 3: Naproxen Sodium 220 mg + Acetaminophen 650 mg1.012.613.824.414.875.185.495.625.645.515.284.964.744.463.873.633.53
Arm 4: Naproxen Sodium 440 mg + Acetaminophen 1000 mg0.853.064.314.955.425.766.016.176.316.136.065.825.685.415.435.165.16
Arm 5: Hydrocodone 10 mg + Acetaminophen 650 mg00.792.363.774.484.714.744.674.514.263.893.393.082.902.562.422.712.66

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Time-Weighted Sum of Total Pain Relief Score From Baseline (0 Hour) to 12 Hours (TOTPAR 0-12)

TOTPAR was measured using a PR-NRS ranging from 0-10 (0 = no relief, 10 = complete relief). Total pain relief scores (TOTPARs) were calculated by multiplying the pain relief score at each postdose time point by the duration (in hours) since the preceding time point and then summing these values. The minimum value was 0, and the maximum value was 120. Higher scores was indicative of more pain relief. (NCT03879408)
Timeframe: Baseline (0 hour) up to 12 hours post-dose

InterventionUnits on a scale (Least Squares Mean)
Arm 1: Placebo18.20
Arm 2: Naproxen Sodium 440 mg69.96
Arm 3: Naproxen Sodium 220 mg + Acetaminophen 650 mg76.80
Arm 4: Naproxen Sodium 440 mg + Acetaminophen 1000 mg90.22
Arm 5: Hydrocodone 10 mg + Acetaminophen 650 mg57.03

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Pain Relief (PAR) Scores at Individual Timepoints

"Participants answered a question at individual time points: how much relief do you have from your starting pain? on a 11-point PR-NRS. Scale ranged from 0=no relief to 10=complete relief. Higher score indicated improvement in pain." (NCT03879408)
Timeframe: 0.25 hours, 0.5 hours, 0.75 hours, 1 hours, 1.25 hours, 1.5 hours, 2 hours, 3 hours, 4 hours, 5 hours, 6 hours, 7 hours, 8 hours, 9 hours, 10 hours, 11 hours, and 12 hours

,,,,
InterventionUnits on a scale (Least Squares Mean)
0.25 hours0.5 Hours0.75 Hours1 Hours1.25 Hours1.5 Hours2 Hours3 Hours4 Hours5 Hours6 Hours7 Hours8 Hours9 Hours10 Hours11 Hours12 Hours
Arm 1: Placebo0.450.510.771.061.131.181.081.371.661.591.531.511.651.611.731.861.89
Arm 2: Naproxen Sodium 440 mg0.802.274.115.295.996.366.626.521.466.456.266.055.955.735.715.715.62
Arm 3: Naproxen Sodium 220 mg + Acetaminophen 650 mg1.363.465.105.916.466.897.377.617.687.437.236.806.636.275.665.335.18
Arm 4: Naproxen Sodium 440 mg + Acetaminophen 1000 mg1.074.035.716.607.177.657.978.248.468.238.157.947.717.447.497.267.25
Arm 5: Hydrocodone 10 mg + Acetaminophen 650 mg1.043.235.086.036.406.446.386.265.965.544.884.504.233.883.663.913.98

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Highest Subjective Pain Score

Highest post-operative pain score during the first postoperative week as measured on an 11-point numeric pain scale from 0-10, with 0 = no pain and 10 = worst pain possible. (NCT04149964)
Timeframe: 7 days

Interventionscore on a scale (Median)
Standard of Care Arm6.0
Study Arm5.0

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Participant Use of Scheduled Acetaminophen Around the Clock

Number of participants who took acetaminophen every 6 hours around the clock during first postoperative week. (NCT04149964)
Timeframe: 7 days

InterventionParticipants (Count of Participants)
Standard of Care Arm3
Study Arm11

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Number of Doses of Opiate (Narcotic) Pain Medication

Number of doses of opiates (narcotic) pain medication participants took for breakthrough pain in the first postoperative week. (NCT04149964)
Timeframe: 7 days

Interventionnumber of doses (Median)
Standard of Care Arm1.0
Study Arm1.5

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Participant Use of Acetaminophen as Needed

Number of participants who took acetaminophen as needed during the first postoperative week. (NCT04149964)
Timeframe: 7 days

InterventionParticipants (Count of Participants)
Standard of Care Arm12
Study Arm2

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Percentage of Time Participant Experienced Severe Pain

Percentage of time participant experienced severe pain requiring breakthrough pain medication during the first postoperative week, as measured on an 11 point numeric scale, from 0% to 100%, where 0% means never in severe pain and 100% means always in severe pain. (NCT04149964)
Timeframe: 7 days

Interventionpercentage of time (Median)
Standard of Care Arm0
Study Arm0

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Participant Use of Additional Pain Medication

Number of participants who took other pain medication (over-the-counter or narcotic) in addition to study-prescribed pain medications during first postoperative week. (NCT04149964)
Timeframe: 7 days

InterventionParticipants (Count of Participants)
Standard of Care Arm3
Study Arm1

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Lowest Subjective Pain Score

Lowest post-operative pain score during the first postoperative week as measured on an 11 point numeric pain scale from 0-10, with 0 = no pain and 10 = worst pain possible. (NCT04149964)
Timeframe: 7 days

Interventionscore on a scale (Median)
Standard of Care Arm2.0
Study Arm2.0

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Chronic Use of Pain Medication

"Number of participants who answered Yes to the survey question, Do you take pain medication, including narcotics, for any other medical condition?" (NCT04149964)
Timeframe: 7 days

InterventionParticipants (Count of Participants)
Standard of Care Arm4
Study Arm2

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Sum of Pain Intensity Difference Over 6 Hours (SPID 0-6)

Pain intensity is measured using Numerical Rating Scale (from 0 to 10: 0 = no pain, 10 = worst possible pain). For each post dose time point, pain intensity difference (PID) is derived by subtracting the pain intensity at the post dose time point from the baseline intensity score (baseline score - post-baseline score). A positive difference is indicative of improvement. Sum of Pain Intensity Differences (SPIDs) was calculated by multiplying the PID score at each post-dose time point by the duration (in hours) since the preceding time point and then summing these values over the specific time period. SPID over 6 hours ranges from -60 to 60. A higher value indicates a better pain reduction. (NCT04307940)
Timeframe: Up to 6 hours postdose

InterventionScores on a scale*hours (Least Squares Mean)
Naproxen Sodium28.41
Hydrocodone / APAP24.35
Placebo6.23

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Time to First Use of Rescue Medication

If a subject did not take the rescue medication during the treatment period, (s)he was censored at the time of last assessment. (NCT04307940)
Timeframe: Up to 12 hours postdose

InterventionHours (Median)
Naproxen SodiumNA
Hydrocodone / APAP10.42
Placebo2.57

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Amount of Rescue Medication

"To quantify the use of opioid analgesics in treatment of post-operative dental pain, the amount of rescue medications (opioids) was converted to a standard unit, which was Morphine Milligram Equivalent (MME) using below formula:~MME/Day = Strength per Unit × (Number of units / Days supply) × MME conversion factor" (NCT04307940)
Timeframe: Up to 12 hours postdose

InterventionMorphine Milligram Equivalent (MME) (Mean)
Naproxen Sodium7.8
Hydrocodone / APAP9.3
Placebo10.5

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Total Pain Relief Over 12 Hours (TOTPAR 0-12)

Pain relief is measured using Categorical Pain Relief Rating Scale (0 = No relief, 1 = A little relief, 2 = Some relief, 3 = A lot of relief, 4 = Complete relief). Total Pain Relief is calculated as the area under the curve of pain relief score over time for the given time period by multiplying the pain relief score at each time point by the duration (in hours) since the preceding time point and then summing these values over the specific time period. TOTPAR over 12 hours ranges from 0 to 48, a higher value indicates more pain relief. (NCT04307940)
Timeframe: Up to 12 hours postdose

InterventionScores on a scale*hours (Least Squares Mean)
Naproxen Sodium28.41
Hydrocodone / APAP21.31
Placebo10.63

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Total Pain Relief Over 6 Hours (TOTPAR 0-6)

Pain relief is measured using Categorical Pain Relief Rating Scale (0 = No relief, 1 = A little relief, 2 = Some relief, 3 = A lot of relief, 4 = Complete relief). Total Pain Relief is calculated as the area under the curve of pain relief score over time for the given time period by multiplying the pain relief score at each time point by the duration (in hours) since the preceding time point and then summing these values over the specific time period. TOTPAR over 6 hours ranges from 0 to 24, a higher value indicates more pain relief. (NCT04307940)
Timeframe: Up to 6 hours postdose

InterventionScores on a scale*hours (Least Squares Mean)
Naproxen Sodium14.53
Hydrocodone / APAP12.69
Placebo5.14

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Number of Participants Required or Did Not Reqiure Rescue Pain Medication

(NCT04307940)
Timeframe: Up to 12 hours postdose

,,
InterventionParticipants (Count of Participants)
Number of participants required rescue pain medicationNumber of participants did not require any rescue pain medication
Hydrocodone / APAP4340
Naproxen Sodium1868
Placebo2914

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Duration of Pain at Least Half Gone Over 12 Hours

(NCT04307940)
Timeframe: Up to 12 hours postdose

InterventionHours (Least Squares Mean)
Naproxen Sodium8.87
Hydrocodone / APAP6.57
Placebo3.31

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Duration of Pain at Least Half Gone Over 6 Hours

(NCT04307940)
Timeframe: Up to 6 hours postdose

InterventionHours (Least Squares Mean)
Naproxen Sodium4.60
Hydrocodone / APAP4.08
Placebo1.49

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Sum of Pain Intensity Difference Over 12 Hours (SPID 0-12)

Pain intensity is measured using Numerical Rating Scale (from 0 to 10: 0 = no pain, 10 = worst possible pain). For each post dose time point, pain intensity difference (PID) is derived by subtracting the pain intensity at the post dose time point from the baseline intensity score (baseline score - post-baseline score). A positive difference is indicative of improvement. Sum of Pain Intensity Differences (SPIDs) was calculated by multiplying the PID score at each post-dose time point by the duration (in hours) since the preceding time point and then summing these values over the specific time period. SPID over 12 hours ranges from -120 to 120. A higher value indicates a better pain reduction. (NCT04307940)
Timeframe: Up to 12 hours postdose

InterventionScores on a scale*hours (Least Squares Mean)
Naproxen Sodium53.20
Hydrocodone / APAP38.39
Placebo13.57

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Change From Baseline in Pain Scores on Postoperative Day 2, as Measured by the Wong-Baker 0-to-10 Pain Scale

Change in pain scores obtained with the Wong-Baker 0-to-10 pain scale between the 2 groups on postoperative day 2. The Wong-Baker 0-to-10 pain scale is used for rating the severity of pain, with scores ranging from 0 to 10, and higher scores indicating greater severity of pain. (NCT05544734)
Timeframe: Baseline, 2 days

Interventionscore on a scale (Mean)
Hydrocodone 5mg/Acetaminophen 325mg2.1
Acetaminophen 1000mg + Ibuprofen 400mg2.4

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